Case Management Coordinator

We're building a world of health around every individual , shaping a more connected, convenient, and compassionate health experience. At CVS Health, you'll be surrounded by colleagues who care deeply, innovate with purpose, and prioritize safety and quality in everything they do.

As a Case Management Coordinator, 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. You will effectively manage a caseload that includes supportive and medically complex members, develop a proactive course of action to address issues, and determine appropriate services and supports due to members' health needs.

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, including prior authorizations, coordination with PCP and skilled providers, condition management information, medication review, and community resources and supports

Requirements

• Bilingual in English and Spanish
• Reside in Kendall, Cutler Bay, or Homestead, Florida area
• 1+ year of experience in behavioral health or a long-term care setting
• Computer proficiency in Microsoft Word, Excel, and Outlook
• Willing and able to travel 50-75% of time to meet members face-to-face in Miami Dade County and surrounding areas

Preferred Qualifications

• Previous field 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

Benefits

• Competitive salary: $21.10 - $40.90 per hour
• Comprehensive benefits package, including medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources