Remote Health Case Manager & Care Coordinator

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

Job summary

CVS Health Corporation is hiring a Case Management Coordinator to support members by coordinating appointments, benefits access and education through care management tools and resources. This full-time telework position requires 50-75% travel within DuPage, Kane, DeKalb, Kendall Counties, IL, with standard 8:00am-5:00pm CST hours and a competitive pay range.

The role emphasizes collaboration with care teams, assessment of needs, and ensuring evidence-based, patient-centered care while navigating

Qualifications

• 2+ years experience in Behavioral Health, Social Services or appropriate related field.
• Must travel 50-75% of the time in DuPage, Kane, DeKalb, Kendall Counties, Illinois. Reliable transportation required.
• 2+ years of experience with electronic documentation and Microsoft Office applications.

Responsibilities

• Evaluate members' needs/eligibility and recommend care plan approach.
• Identify high risk factors and service needs for appropriate referrals.
• Coordinate and monitor care plan activities and progress.
• Collaborate with Medical Directors and health programs to improve care quality.
• Identify and escalate quality of care issues through established channels.
• Use negotiation to secure options and services meeting members' needs.
• Engage members with motivational interviewing to encourage healthy choices.
• Provide coaching and information to empower independent medical decisions.
• Participate in team meetings and mentor colleagues as needed.
• Assist members in engaging with providers during decision-making.
• Maintain documentation per regulatory and policy guidelines.

Skills

Behavioral Health

Case management

Microsoft Office

Education

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

Tools

Electronic documentation systems

Job description

CVS Health Corporation is hiring a Case Management Coordinator to support members by coordinating appointments, benefits access and education through care management tools and resources. This full-time telework position requires 50-75% travel within DuPage, Kane, DeKalb, Kendall Counties, IL, with standard 8:00am-5:00pm CST hours and a competitive pay range.

The role emphasizes collaboration with care teams, assessment of needs, and ensuring evidence-based, patient-centered care while navigating