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Case Management Coordinator - Field (Will County, IL)

Job Overview

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Employment Type

Full-time
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Compensation

Hourly
Range $21.10 - $44.99
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Work Schedule

Standard Hours
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Benefits

Medical insurance
Dental Insurance
Vision Insurance
Paid Time Off
retirement savings
Welfare programs
Employee wellness programs

Job Description

CVS Health is a leading health innovation company dedicated to improving the health and well-being of individuals and communities. With a strong commitment to creating a more connected, convenient, and compassionate healthcare experience, CVS Health combines pharmacy services, retail health clinics, and a broad range of care management solutions to support people in managing their health. The company prides itself on its passionate workforce that values accountability, quality, and safety while driving innovation to simplify healthcare. Employees at CVS Health are offered opportunities to contribute to improving health outcomes for individuals, families, and communities nationwide, making them crucial partners in transforming healthcare delivery.

This full-time position is a telework role based primarily in Will County, Illinois, requiring 50-75% travel within the area. The standard schedule runs Monday to Friday from 8:00 am to 5:00 pm CST. The Case Management Coordinator plays a vital role within CVS Health’s care management team by facilitating appropriate healthcare outcomes for members. This position involves reviewing members’ needs and benefit plans using care management tools, scheduling appointments, educating members on accessing resources, and ensuring the delivery of coordinated care. The Case Management Coordinator acts as a bridge between members and healthcare services by identifying high-risk factors, coaching members towards positive lifestyle behaviors, and collaborating with clinical case managers and other healthcare professionals to optimize member health outcomes.

This role demands strong critical thinking, judgment, and communication skills to assess member needs comprehensively and implement effective case resolutions. The coordinator works collaboratively with multidisciplinary teams to enhance quality of care and medical appropriateness, escalate care issues when necessary, and document progress while complying with regulatory guidelines. Members are supported in becoming empowered healthcare consumers through motivational interviewing and education, helping them actively participate in healthcare decision-making.

With a competitive pay range from $21.10 to $44.99 per hour, this role is eligible for bonuses and incentive programs. CVS Health offers a comprehensive benefits package including medical, dental, vision coverage, paid time off, retirement savings, wellness programs, and various supports aimed at promoting colleague and family well-being. This position provides an opportunity for professionals interested in behavioral health, social services, or healthcare management to make a meaningful impact in a dynamic, supportive environment focused on health improvement and innovation.

Job Requirements

  • 2+ years experience in behavioral health or social services related to program focus
  • willing and able to travel 50-75% of the time in Will County, Illinois
  • reliable transportation required
  • proficiency with electronic documentation and Microsoft Office applications
  • bachelor’s degree or equivalent in behavioral health or human services
  • strong organizational and multitasking abilities
  • ability to work full time Monday-Friday 8am-5pm CST
  • effective communication skills
  • adherence to company policies and regulatory guidelines

Job Qualifications

  • 2+ years experience in behavioral health, social services, or related field
  • bachelor’s degree or non-licensed master level clinician in behavioral health or human services such as psychology, social work, marriage and family therapy, or counseling
  • proficiency with electronic documentation and Microsoft Office applications
  • experience in case management and discharge planning preferred
  • managed care experience preferred
  • strong critical thinking, communication, and interpersonal skills

Job Duties

  • Evaluate members using care management tools and data review to assess needs and recommend case resolution approaches
  • identify high risk factors impacting member outcomes and refer to clinical case management or crisis intervention
  • coordinate and implement assigned care plan activities and monitor progress
  • enhance medical appropriateness and quality of care through collaboration with case managers, supervisors, and medical directors
  • identify and escalate quality of care issues as needed
  • utilize negotiation skills to secure appropriate options and services for member benefits or healthcare needs
  • use influencing and motivational interviewing skills to promote member engagement and lifestyle changes
  • provide coaching, information, and support to empower members in healthcare choices
  • participate in team meetings and provide peer mentoring
  • help members actively participate in healthcare decision-making
  • document care management processes in compliance with regulatory and company policies

Job Criteria

Experience

Mid Level (3-7 years)


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