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, hold themselves accountable and prioritize safety and quality in everything they do.

Job Details This is a full-time telework position requiring 50-75% travel in and around DuPage, Kane, Dekalb and Kendall counties. Standard business hours Monday-Friday 8:00am-5:00pm CST.

Position Summary The Case Management Coordinator utilises critical thinking and judgement to collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources.

Key Responsibilities

• Evaluate members' needs and eligibility, and recommend approaches to case resolution
• Identify high-risk factors and service needs that may impact member outcomes and care planning
• Coordinate and implement assigned care plan activities and monitor care plan progress
• Enhance medical appropriateness and quality of care through consultation with case managers, supervisors, and Medical Directors
• Identify and escalate quality of care issues through established channels
• Utilise negotiation skills to secure appropriate options and services necessary to meet members' benefits and healthcare needs
• Utilise influencing and motivational interviewing skills to ensure maximum member engagement and promote lifestyle and behaviour changes
• Provide coaching, information, and support to empower members to make ongoing independent medical and healthy lifestyle choices
• Engage with colleagues in ongoing team meetings and offer peer mentoring and training
• Help members actively and knowledgeably participate with their provider in healthcare decision-making
• Monitor, evaluate, and document care in compliance with regulatory and accreditation guidelines and company policies and procedures

Required Qualifications

• 2+ years experience in Behavioural Health, Social Services or a related field
• Must be willing and able to travel 50-75% of the time in DuPage, Kane, DeKalb, Kendall Counties, Illinois
• Reliable transportation required; mileage is reimbursed
• 2+ years of experience with electronic documentation and Microsoft Office applications

Preferred Qualifications

• Case management and discharge planning experience
• Managed Care experience

Education

• Bachelor's degree or non-licensed master level clinician required with either degree being in Behavioural Health or Human Services (Psychology, Social Work, Marriage and Family therapy, Counselling)

Anticipated Weekly Hours 40

Time Type Full time

Pay Range $21.10 - $44.99

Benefits This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.