# Case Management Coordinator

**Company**: CVS Health
**Location**: Franklin County, IL
**Job type**: full-time
**Salary**: $21.10 - $44.99
**Category**: Healthcare
**Industry**: Healthcare

**Apply**: https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/IL---Benton/Case-Management-Analyst---Field-in-Franklin-County-IL-or-Surrounding-Area_R1096070-1?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/job/case-management-coordinator-122d9395-7e6/

## 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 they do.

As a Case Management Coordinator, you will facilitate appropriate healthcare outcomes for members by providing care coordination, support, and education through care management tools and resources.

**Travel Requirements** 75% travel required in Franklin County (IL) and surrounding counties.

**Evaluation of Members**

- Conduct comprehensive evaluations of referred members' needs and eligibility using care management tools and data review.

- Recommend approaches to case resolution and meet needs by evaluating members' benefit plans and available internal and external programs/services.

- Identify high-risk factors and service needs that impact member outcomes and care planning.

- Coordinate and implement assigned care plan activities and monitor progress.

**Enhancement of Medical Appropriateness and Quality of Care**

- Consult with case managers, supervisors, Medical Directors, and health programs to overcome barriers to meeting goals.

- Present cases at case conferences for multidisciplinary review to achieve optimal outcomes.

- 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.

- Use influencing and motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes.

- Provide coaching, information, and support to empower members to make ongoing independent medical and healthy lifestyle choices.

- Help members actively participate with their providers in healthcare decision-making.

**Monitoring, Evaluation, and Documentation of Care**

- Utilize case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies.

**Required Qualifications**

- Reside in Illinois, specifically in Franklin County or surrounding areas.

- Valid Illinois Driver's license.

- Reliable transportation and willingness to travel up to 75% of the time.

- Minimum of two years of case management experience.

- Experience with Microsoft Office and electronic health records.

**Preferred Qualifications**

- Case management and discharge planning experience.

- Managed Care experience.

- Microsoft Office experience.

**Education**

- Bachelor's degree or non-licensed individual's master's degree in a human-services field.

**Anticipated Weekly Hours** 40

**Time Type** Full-time

**Pay Range** $21.10 - $44.99

**Benefits** Eligible for a comprehensive benefits package, including medical, dental, and vision coverage, paid time off, retirement savings options, and wellness programs.

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## Skills

### Required
- case management
- Microsoft Office
- electronic health records
- Illinois Driver's license

### Nice to have
- discharge planning
- Managed Care

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Source: [Apply at cvshealth.wd1.myworkdayjobs.com](https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/IL---Benton/Case-Management-Analyst---Field-in-Franklin-County-IL-or-Surrounding-Area_R1096070-1?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)