
Job Overview
Employment Type
Full-time
Compensation
Hourly
Range $21.10 - $44.99
Work Schedule
Standard Hours
Benefits
Medical insurance
Dental Insurance
Vision Insurance
Paid Time Off
retirement savings options
wellness programs
Employee assistance program
Job Description
CVS Health is a leading health solutions company committed to helping people on their path to better health. With a comprehensive portfolio that spans pharmacy services, retail health clinics, and health insurance, CVS Health is dedicated to creating a more connected, convenient, and compassionate health experience for individuals and communities. As a company, CVS Health fosters an inclusive and innovative work environment, emphasizing accountability, quality, and safety in all operations. The organization’s mission revolves around simplifying health care—one person, one family, and one community at a time, making it a trusted partner in health care for millions of customers and clients nationwide.
The Case Management Coordinator role at CVS Health is a full-time telework position that requires 50-75% travel in and around Will County, Illinois. Working standard business hours from Monday to Friday, 8:00 a.m. to 5:00 p.m. CST, this position plays a crucial role in facilitating the healthcare needs of members through critical thinking, collaboration, and effective case management. The coordinator is responsible for conducting comprehensive evaluations of members’ needs and eligibility using care management tools and data, recommending appropriate case resolutions based on benefit plans, and navigating both internal and external support programs.
In this role, you will be key to enhancing medical appropriateness and quality of care by collaborating with clinical case managers, supervisors, Medical Directors, and other health programs. You will use a holistic approach to address barriers to care and promote optimal health outcomes, including participation in multidisciplinary case conferences. Your strong negotiation and motivational interviewing skills will empower members to engage actively in their healthcare decisions and lifestyle improvements. You will provide coaching, education, and support to help members make informed choices and maintain independence in managing their health.
Documentation and compliance are integral to this position, where you will leverage case management and quality management processes aligned with regulatory and accreditation standards. You will also engage with your colleagues through team meetings and provide peer mentoring and training, reinforcing a collaborative work culture.
This role offers a competitive pay range of $21.10 to $44.99 per hour, reflecting factors such as experience, education, and geography. In addition to the base pay, the position is eligible for a CVS Health bonus, commission, or short-term incentive program. CVS Health values its employees and provides a comprehensive benefits package including medical, dental, vision coverage, retirement savings options, wellness programs, and paid time off, all designed to support the physical, emotional, and financial well-being of employees and their families. Joining CVS Health means becoming part of a passionate team dedicated to innovation and compassionate service, helping to simplify health care and improve lives every day.
The Case Management Coordinator role at CVS Health is a full-time telework position that requires 50-75% travel in and around Will County, Illinois. Working standard business hours from Monday to Friday, 8:00 a.m. to 5:00 p.m. CST, this position plays a crucial role in facilitating the healthcare needs of members through critical thinking, collaboration, and effective case management. The coordinator is responsible for conducting comprehensive evaluations of members’ needs and eligibility using care management tools and data, recommending appropriate case resolutions based on benefit plans, and navigating both internal and external support programs.
In this role, you will be key to enhancing medical appropriateness and quality of care by collaborating with clinical case managers, supervisors, Medical Directors, and other health programs. You will use a holistic approach to address barriers to care and promote optimal health outcomes, including participation in multidisciplinary case conferences. Your strong negotiation and motivational interviewing skills will empower members to engage actively in their healthcare decisions and lifestyle improvements. You will provide coaching, education, and support to help members make informed choices and maintain independence in managing their health.
Documentation and compliance are integral to this position, where you will leverage case management and quality management processes aligned with regulatory and accreditation standards. You will also engage with your colleagues through team meetings and provide peer mentoring and training, reinforcing a collaborative work culture.
This role offers a competitive pay range of $21.10 to $44.99 per hour, reflecting factors such as experience, education, and geography. In addition to the base pay, the position is eligible for a CVS Health bonus, commission, or short-term incentive program. CVS Health values its employees and provides a comprehensive benefits package including medical, dental, vision coverage, retirement savings options, wellness programs, and paid time off, all designed to support the physical, emotional, and financial well-being of employees and their families. Joining CVS Health means becoming part of a passionate team dedicated to innovation and compassionate service, helping to simplify health care and improve lives every day.
Job Requirements
- bachelor’s degree or non-licensed master level clinician in behavioral health or human services
- 2+ years experience in behavioral health, social services or related field
- ability to travel 50-75% of the time in Will County, Illinois
- reliable transportation
- 2+ years experience with electronic documentation and Microsoft Office applications
Job Qualifications
- 2+ years experience in behavioral health, social services, or related field
- experience with electronic documentation and Microsoft Office applications
- ability to travel 50-75% of the time in Will County, Illinois with reliable transportation
- bachelor’s degree or non-licensed master level clinician in behavioral health or human services
- strong communication and interpersonal skills
- negotiation and motivational interviewing skills
- experience in case management and discharge planning preferred
- managed care experience preferred
Job Duties
- evaluate members needs and eligibility using care management tools and data
- identify high risk factors and refer to clinical case management or crisis intervention
- coordinate and implement care plan activities and monitor progress
- consult with case managers, supervisors, and medical directors to enhance medical appropriateness and quality of care
- identify and escalate quality of care issues
- negotiate and secure appropriate options and services for members
- use motivational interviewing to promote member engagement and behavior changes
- provide coaching and support to empower members in healthcare choices
- participate in team meetings and offer peer mentoring
- help members actively participate in healthcare decision-making
- utilize case management processes in compliance with regulatory guidelines
Job Criteria
Experience
No experience required
Job Location
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