Travel-Ready Case Management Coordinator

CVS Health; United States; Remoto; USD 29.000 - 62.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings

Wellness programs

Descrizione del lavoro

CVS Health is seeking a Case Management Coordinator to support members across the Metro East region in Illinois with telework options and up to 75% travel. The role focuses on coordinating care, scheduling appointments, and helping members navigate benefits with a patient-centered approach.

You will collaborate with care teams, monitor progress, document outcomes, and ensure compliance with regulatory standards.

Competenze

• 2+ years experience in behavioral health, social services or appropriate related field equivalent to program focus.
• Must be willing and able to travel 50-75% of the time in the Metro East area of IL. Reliable transportation required. Mileage is reimbursed per our company expense reimbursement policy.
• Must have 2+ years of experience of electronic documentation experience and Microsoft Office applications.

Mansioni

• Evaluate members' needs/eligibility and recommend care-resolution approaches.
• Identify high-risk factors and coordinate referrals to case management.
• Coordinate and implement care plan activities; monitor progress.
• Collaborate with medical directors and teams to improve care quality.
• Escalate quality of care issues through established channels.
• Negotiate options and services to meet benefits and needs.
• Use motivational interviewing to engage members in healthy changes.
• Provide coaching and support for independent health decisions.
• Participate in team meetings and mentor peers.
• Assist members in engaging with providers in decision-making.
• Document care and comply with regulatory guidelines.

Formazione

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

Descrizione del lavoro

CVS Health is seeking a Case Management Coordinator to support members across the Metro East region in Illinois with telework options and up to 75% travel. The role focuses on coordinating care, scheduling appointments, and helping members navigate benefits with a patient-centered approach.

You will collaborate with care teams, monitor progress, document outcomes, and ensure compliance with regulatory standards.