Case Management Coordinator

We are seeking a self-motivated, energetic, detail-oriented, highly organized, tech-savvy Case Management Coordinator to join our Case Management team at CVS Health. You will be responsible for assessing, planning, implementing, and coordinating case management activities with members to evaluate their medical needs and facilitate their overall wellness.

The ideal candidate will have 1+ year of experience in a behavioral health or long-term care setting, computer proficiency in Microsoft Word, Excel, and Outlook, and excellent communication skills. The role requires 50-75% travel for face-to-face visits with members in Orange County and surrounding areas.

As a Case Management Coordinator, you will:

• Assess, plan, implement, and coordinate case management activities with members
• Evaluate the medical needs of members to facilitate their overall wellness
• Develop a proactive course of action to address issues and enhance short and long-term outcomes
• Determine appropriate services and supports due to members' health needs, including prior authorizations, coordination with PCP and skilled providers, condition management information, medication review, and community resources and supports

We offer a competitive salary ($21.10 - $40.90 per hour), full benefits, and a comprehensive benefits package that includes medical, dental, and vision coverage, paid time off, retirement savings options, and wellness programs.

Responsibilities

• Telephonically and/or face-to-face assess, plan, implement, and coordinate case management activities with members
• Evaluate the medical needs of members to facilitate their overall wellness
• Effectively manage a caseload that includes supportive and medically complex members
• Develop a proactive course of action to address issues presented to enhance short and long-term outcomes
• Determine appropriate services and supports due to members' health needs

Requirements

• Reside in Orange County, FL
• Willing and able to travel 50-75% of their time to meet members face-to-face in Orange County and surrounding areas in FL
• 1+ year of experience in behavioral health or a long-term care setting
• Computer proficiency in Microsoft Word, Excel, and Outlook

Preferred Qualifications

• Case management and discharge planning experience
• Ability to multitask, prioritize, and effectively adapt to a fast-paced changing environment
• Effective communication skills, both verbal and written
• Managed Care experience

Education

• Bachelor's degree required, preferably in social work or a related field