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, 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 Northwest Illinois, including Winnebago, Boone, Stephenson, Ogle, and Jo Daviess counties.
Schedule: Standard business hours, Monday-Friday, 8:00 am-5:00 pm CST.
Position Summary: The Case Management Coordinator uses critical thinking and judgment to collaborate and inform the case management process, facilitating suitable healthcare outcomes for members.
Key Responsibilities:
- Evaluate members' needs and eligibility, recommending approaches to case resolution
- Identify high-risk factors and service needs, referring to clinical case management or crisis intervention as needed
- Coordinate and implement care plan activities, monitoring progress
- Consult with case managers, supervisors, and Medical Directors to overcome barriers and achieve optimal outcomes
- Identify and escalate quality of care issues
- Utilize negotiation and motivational interviewing skills to secure suitable options and services
- Provide coaching and support to empower members to make independent medical and lifestyle choices
- Engage in team meetings and offer peer mentoring and training
- Help members participate actively in healthcare decision-making with their providers
- Monitor, evaluate, and document care using case management and quality management processes
Required Qualifications:
- 2+ years of experience in Behavioral Health, Social Services, or a related field
- Willingness to travel 50-75% of the time in specified counties, with reliable transportation
- 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's level clinician in Behavioral Health or Human Services (Psychology, Social Work, Marriage and Family Therapy, Counseling)
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, wellness programs, and other resources.