Remote Case Manager & Care Coordinator

CVS Health Corporation; Arizona; Hybrid; USD 2,907,000 - 5,634,000; Full time

Job summary

CVS Health Corporation is seeking a Case Management Coordinator for a work-from-home role with travel within West Valley, Arizona. The role coordinates and documents utilization/benefit management, applying evidence-based criteria for member care and education through care management tools.

Responsibilities include evaluating member needs, coordinating care plans, and promoting engagement with providers while ensuring regulatory compliance and quality of care.

Qualifications

• 2+ years of experience in case management.
• Experience with individuals designated as having a serious mental illness (SMI) and elderly.
• Bachelor's degree or licensed RN in Arizona.

Responsibilities

• Evaluation of members and eligibility; plan care and coordinate services.
• Enhancement of medical appropriateness; address barriers and secure necessary services.
• Monitoring, evaluation and documentation of care per regulatory guidelines and company policies.

Skills

Case management

SMI experience

Elderly care

Microsoft Office Suite

Multitasking

Bilingual (English/Spanish)

Education

Bachelor's degree or RN license (AZ)

Tools

Microsoft Outlook

Microsoft Word

Job description

CVS Health Corporation is seeking a Case Management Coordinator for a work-from-home role with travel within West Valley, Arizona. The role coordinates and documents utilization/benefit management, applying evidence-based criteria for member care and education through care management tools.

Responsibilities include evaluating member needs, coordinating care plans, and promoting engagement with providers while ensuring regulatory compliance and quality of care.