Field Case Manager: Health Navigator

CVS Health Corporation; Naperville (IL); Remote; USD 44,000 - 94,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings

Wellness programs

Job summary

CVS Health Corporation is seeking a Case Management Coordinator for a full-time telework role in the United States, with substantial travel around Cook County, IL. You will support members by scheduling appointments, identifying benefits, and coordinating education through care management tools.

Responsibilities include evaluating member needs, coordinating care plans, and collaborating with clinicians to ensure quality of care while maintaining regulatory compliance.

Qualifications

• 2+ years experience in Behavioral Health, Social Services or related field
• Willing to travel 50-75% in Cook County, Illinois – predominantly westside of Chicago
• 2+ years experience with electronic documentation and Microsoft Office

Responsibilities

• Evaluate members' needs/eligibility and recommend care resolutions
• Identify high-risk factors and coordinate care planning
• Coordinate and monitor care plan activities and progress
• Collaborate with clinicians and leadership to improve quality of care
• Identify and escalate quality of care issues
• Use negotiation to secure benefits and services
• Engage members to promote healthy behaviors
• Provide coaching to empower independent medical decisions
• Participate in team meetings and mentor peers
• Support member engagement with providers in decision-making
• Document care and ensure regulatory compliance

Skills

Behavioral Health

Social Services

Electronic documentation

Microsoft Office

Education

Bachelor's degree or non-licensed master level clinician in Behavioral Health or Human Services

Job description

CVS Health Corporation is seeking a Case Management Coordinator for a full-time telework role in the United States, with substantial travel around Cook County, IL. You will support members by scheduling appointments, identifying benefits, and coordinating education through care management tools.

Responsibilities include evaluating member needs, coordinating care plans, and collaborating with clinicians to ensure quality of care while maintaining regulatory compliance.