Remote Case Management Specialist — Health & Care Advocate

CVS Health; Phoenix (AZ); Remote; USD 29,000 - 56,000; Full time

Job summary

CVS Health is seeking a Case Management Coordinator to work from home with travel within Maricopa County, AZ. You will evaluate member needs, coordinate care plans, and support medical necessity decisions in line with utilization/benefit management guidelines.

The role requires 2+ years in case management, experience with serious mental illness and elderly populations, and a Bachelor's degree (or RN license). Travel up to 50% is expected.

Qualifications

• 2+ years of experience in case management with people designated as having a serious mental illness (SMI) and working with elderly individuals.
• Resides in Maricopa County, Arizona.
• Willingness to travel up to 50% within Maricopa County, Arizona.

Responsibilities

• Evaluate referred members’ needs/eligibility and recommend an approach to case resolution.
• Coordinate and implement care plan activities and monitor progress.
• Identify and escalate quality of care issues and coordinate with providers.

Skills

Case management

SMI experience

Travel coordination

Communication

Education

Bachelor’s degree in Social Work, Psychology, Special Education, or Counseling

Licensed RN

Job description

CVS Health is seeking a Case Management Coordinator to work from home with travel within Maricopa County, AZ. You will evaluate member needs, coordinate care plans, and support medical necessity decisions in line with utilization/benefit management guidelines.

The role requires 2+ years in case management, experience with serious mental illness and elderly populations, and a Bachelor's degree (or RN license). Travel up to 50% is expected.