Remote Case Management Specialist

4062 Aetna Resources, LLC; Homer City (Indiana County); On-site; USD 29,000 - 55,000; Full time

Benefits offered by this job

Benefits package

Job summary

CVS Health is seeking a Case Management Coordinator to support members by coordinating appointments, accessing benefits, and providing education through care management tools. The role emphasizes collaboration with clinical teams, HIPAA adherence, and improving healthcare outcomes in a remote work setup.

Qualified candidates have 2+ years in behavioral health or social services, strong MS Office skills, and the ability to work 8:00 AM–5:00 PM in the assigned market time zone.

Qualifications

• Bachelor's Degree or non-licensed master level clinician in behavioral health or human services preferred (psychology, social work, marriage and family therapy, counseling) or equivalent experience (REQUIRED).
• 2+ years of experience in behavioral health or social services.
• 2+ years of experience with Microsoft Office Applications (Word, Excel, Outlook).
• Candidates must have a dedicated workspace free of interruptions.
• Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted.

Responsibilities

• Facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling and accessing benefits.
• Identifies high risk factors and service needs and refers to clinical case management or crisis intervention as needed.
• Coordinates and implements care plan activities and monitors progress.
• Collaborates with case managers, supervisors and Medical Directors to overcome barriers to goals.
• Ensures documentation in line with regulatory and accreditation guidelines.

Education

Bachelor's Degree or non-licensed master level clinician in behavioral health or human services

Job description

CVS Health is seeking a Case Management Coordinator to support members by coordinating appointments, accessing benefits, and providing education through care management tools. The role emphasizes collaboration with clinical teams, HIPAA adherence, and improving healthcare outcomes in a remote work setup.

Qualified candidates have 2+ years in behavioral health or social services, strong MS Office skills, and the ability to work 8:00 AM–5:00 PM in the assigned market time zone.