Remote Case Management Coordinator — Travel 50-75%

CVS Health Corporation; Evanston (IL); Remote; USD 29,000 - 62,000; Full time

Job summary

CVS Health Corporation is seeking a Case Management Coordinator to support members by coordinating scheduling, benefits access and education through care management tools. This full-time role involves travel 50-75% in Lake, McHenry and Northern Cook Counties, Illinois, with standard business hours.

You will collaborate with care teams, use data to assess needs, refer to appropriate programs, and assist members in participating in healthcare decisions while ensuring compliance with regulatory

Qualifications

• 2+ years of experience in Behavioral Health or Social Services.
• Willingness to travel 50-75% in Lake, McHenry, Northern Cook Counties Illinois; reliable transportation.
• 2+ years of electronic documentation experience and proficiency with Microsoft Office applications.

Responsibilities

• Evaluate members’ needs, eligibility and recommend care plan approach.
• Identify high risk factors and coordinate appropriate referrals.
• Coordinate and monitor care plan activities and progress.
• Collaborate with care managers and medical directors to improve care quality.
• Escalate quality-of-care issues through established channels.
• Negotiate options and services to meet members’ benefits and needs.
• Engage members to promote healthy lifestyle changes.
• Provide coaching and support for informed healthcare decisions.
• Participate in team meetings and mentor colleagues.

Skills

Behavioral Health experience

Social Services experience

Microsoft Office

Education

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

Tools

Microsoft Office

Job description

CVS Health Corporation is seeking a Case Management Coordinator to support members by coordinating scheduling, benefits access and education through care management tools. This full-time role involves travel 50-75% in Lake, McHenry and Northern Cook Counties, Illinois, with standard business hours.

You will collaborate with care teams, use data to assess needs, refer to appropriate programs, and assist members in participating in healthcare decisions while ensuring compliance with regulatory