Remote Case Manager: Care Coordination & Utilization

CVS Health; Yuma (AZ); Remote; USD 60,000 - 80,000; Full time

Job summary

CVS Health is seeking a Case Management Coordinator for a remote role with travel required to visit members in Maricopa County, Arizona. You will coordinate, document, and communicate all aspects of the utilization/benefit management program, applying clinical judgment and evidence-based care to support members.

In this role you will assess member needs, coordinate care plans, and collaborate with care teams to ensure medical necessity and high-quality outcomes while maintaining a

Responsibilities

• Evaluation of Members: Conducts comprehensive evaluation of referred member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services.
• Identifies high-risk factors and service needs that may impact member outcomes and care planning components with appropriate referrals.
• Coordinates and implements assigned care plan activities and monitors care plan progress.

Job description

CVS Health is seeking a Case Management Coordinator for a remote role with travel required to visit members in Maricopa County, Arizona. You will coordinate, document, and communicate all aspects of the utilization/benefit management program, applying clinical judgment and evidence-based care to support members.

In this role you will assess member needs, coordinate care plans, and collaborate with care teams to ensure medical necessity and high-quality outcomes while maintaining a