Description
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 we do.
Position Summary This position is for Virginia-only candidates with up to 70% travel required in the Tidewater Virginia Area.
As a Case Manager, you will utilize critical thinking and judgment to collaborate and inform the case management process to facilitate appropriate healthcare outcomes for members. You will provide care coordination, support, and education for members using care management tools and resources.
Key Responsibilities:
- Evaluate members' needs and eligibility, and recommend approaches to case resolution
- Identify risk factors and service needs that may impact member outcomes and care planning
- Coordinate and implement assigned care plan activities and monitor progress
- Consult with case managers, supervisors, Medical Directors, and other health programs to overcome barriers to meeting goals and objectives
- Identify and escalate quality of care issues through established channels
- Utilize negotiation skills to secure appropriate options and services necessary to meet members' benefits and healthcare needs
- Provide coaching, information, and support to empower members to make ongoing independent medical and healthy lifestyle choices
Requirements:
- 2 years' experience in behavioral health, social services, or a related field
- Bachelor's degree or non-licensed master-level clinician required, with either degree being in behavioral health or human services preferred
- Must reside in the Tidewater Virginia VA Area
- Up to 70% travel will be required in the Central region
Preferred Qualifications:
- Case management and discharge planning experience preferred
- Managed Care experience preferred
What We Offer:
- Competitive salary range: $21.10 - $40.90 per hour
- Comprehensive benefits package, including medical, dental, and vision coverage, paid time off, retirement savings options, and wellness programs
- Opportunities for professional growth and development
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