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 we do.
Job Details
- New Hire Bonus - $3,000 Available!
- Location: This is a full-time telework position requiring 50-75% travel in and around Metro east/Southern Illinois
- Schedule: 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, and refer to clinical case management or crisis intervention as needed
- Coordinate and implement care plan activities, and monitor progress
- Consult with case managers, supervisors, and Medical Directors to overcome barriers to meeting goals and objectives
- Identify and escalate quality of care issues
- Utilise negotiation skills to secure necessary options and services
- Provide coaching and support to empower members to make independent medical and lifestyle choices
- Engage in ongoing team meetings and offer peer mentoring and training
- Help members participate actively in healthcare decision-making
- Monitor, evaluate, and document care in compliance with regulatory and accreditation guidelines
Required Qualifications
- 2+ years experience in Behavioural Health, Social Services, or a related field
- Willingness and ability to travel 50-75% of the time in the Metro East, Illinois area
- 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 in Behavioural Health or Human Services
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.