Job Overview
Employment Type
Full-time
Compensation
Hourly
Range $21.10 - $44.99
Work Schedule
Standard Hours
Benefits
Medical Coverage
dental coverage
vision coverage
Paid Time Off
retirement savings options
wellness programs
bonus eligibility
Job Description
CVS Health is a leading health innovation company dedicated to building a world of health around every individual. With a mission to simplify health care, CVS Health offers a more connected, convenient, and compassionate health experience to millions of customers every day. This organization is known for its comprehensive approach that combines a wide range of health services including pharmacy, retail health clinics, and health management programs. CVS Health is committed to fostering a workplace environment where employees are valued, supported, and motivated to contribute meaningfully. Surrounded by passionate colleagues, the company encourages innovation, accountability, and a steadfast dedication to safety and quality in all aspects of its operations.
This full-time Case Management Coordinator position is a telework role with an anticipated schedule of Monday through Friday, 8:00am to 5:00pm CST, requiring 50-75% travel primarily in and around Kane County, Illinois. The role is integral to the healthcare management process, focusing on collaborating across teams and leveraging case management tools to drive positive health outcomes for members. The coordinator plays a vital role in facilitating member access to the right health services by assisting with appointment scheduling, benefits navigation, and education to empower informed health decisions. This position requires a blend of critical thinking, judgment, and collaborative skills to evaluate members’ needs comprehensively and recommend strategic solutions that align with each member’s benefit plan and available programs.
A typical day for the Case Management Coordinator involves thorough member evaluations using data and care management tools, identifying risk factors, coordinating care plans, and monitoring progress. The role emphasizes enhancing medical appropriateness and quality of care through a holistic approach, including interdisciplinary collaboration with case managers, medical directors, and clinical specialists. The coordinator is responsible for documenting care processes in compliance with regulatory standards and company policies, ensuring optimal care outcomes and quality improvements.
The ideal candidate will bring at least two years of experience in behavioral health, social services, or related fields, along with proficiency in electronic documentation and Microsoft Office applications. A bachelor’s degree or a non-licensed master level clinician degree in Behavioral Health or Human Services such as Psychology, Social Work, Marriage and Family Therapy, or Counseling is required. Preferred qualifications include experience in case management and discharge planning as well as managed care. This position offers a competitive pay range of $21.10 to $44.99 per hour, reflecting experience, education, and geographic considerations, with eligibility for bonuses and incentive programs.
Working at CVS Health means joining a company dedicated to diversity, equity, and inclusion where you can grow your career while helping to make a meaningful difference in people’s health and well-being. The comprehensive benefits package includes medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources tailored to support the physical, emotional, and financial well-being of employees and their families. The organization strives to create a workplace where every colleague feels they belong and can contribute to CVS Health’s mission of transforming health care one person, one family, and one community at a time.
This full-time Case Management Coordinator position is a telework role with an anticipated schedule of Monday through Friday, 8:00am to 5:00pm CST, requiring 50-75% travel primarily in and around Kane County, Illinois. The role is integral to the healthcare management process, focusing on collaborating across teams and leveraging case management tools to drive positive health outcomes for members. The coordinator plays a vital role in facilitating member access to the right health services by assisting with appointment scheduling, benefits navigation, and education to empower informed health decisions. This position requires a blend of critical thinking, judgment, and collaborative skills to evaluate members’ needs comprehensively and recommend strategic solutions that align with each member’s benefit plan and available programs.
A typical day for the Case Management Coordinator involves thorough member evaluations using data and care management tools, identifying risk factors, coordinating care plans, and monitoring progress. The role emphasizes enhancing medical appropriateness and quality of care through a holistic approach, including interdisciplinary collaboration with case managers, medical directors, and clinical specialists. The coordinator is responsible for documenting care processes in compliance with regulatory standards and company policies, ensuring optimal care outcomes and quality improvements.
The ideal candidate will bring at least two years of experience in behavioral health, social services, or related fields, along with proficiency in electronic documentation and Microsoft Office applications. A bachelor’s degree or a non-licensed master level clinician degree in Behavioral Health or Human Services such as Psychology, Social Work, Marriage and Family Therapy, or Counseling is required. Preferred qualifications include experience in case management and discharge planning as well as managed care. This position offers a competitive pay range of $21.10 to $44.99 per hour, reflecting experience, education, and geographic considerations, with eligibility for bonuses and incentive programs.
Working at CVS Health means joining a company dedicated to diversity, equity, and inclusion where you can grow your career while helping to make a meaningful difference in people’s health and well-being. The comprehensive benefits package includes medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources tailored to support the physical, emotional, and financial well-being of employees and their families. The organization strives to create a workplace where every colleague feels they belong and can contribute to CVS Health’s mission of transforming health care one person, one family, and one community at a time.
Job Requirements
- Willingness and ability to travel 50-75% of the time in Kane County, Illinois
- Reliable transportation required
- 2 or more years of electronic documentation experience
- Proficient in Microsoft Office applications
- Bachelor’s degree or equivalent in Behavioral Health or Human Services
- Experience in behavioral health or social services
- Ability to work full time during standard business hours
- Strong organizational and communication skills
Job Qualifications
- Bachelor's degree or non-licensed master level clinician in Behavioral Health or Human Services
- Minimum 2 years experience in behavioral health, social services or related field
- Experience with electronic documentation and Microsoft Office applications
- Strong critical thinking and judgment skills
- Effective communication and interpersonal skills
- Ability to travel 50-75% in Kane County, Illinois
- Knowledge of case management and discharge planning preferred
- Managed care experience preferred
Job Duties
- Conduct comprehensive evaluation of members needs and eligibility using care management tools
- Identify high risk factors and refer to clinical case management or crisis intervention as needed
- Coordinate and monitor assigned care plan activities and progress
- Collaborate with case managers, supervisors, and medical directors to enhance medical appropriateness and quality of care
- Utilize negotiation and motivational interviewing skills to engage members and promote behavior changes
- Provide coaching and support to empower members in healthcare decision-making
- Document care processes in compliance with regulatory and company guidelines
Job Criteria
Experience
Mid Level (3-7 years)
Job Location
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