# Case Management Coordinator

**Company**: CVS Health
**Location**: Work from home, AZ
**Work arrangement**: remote
**Experience**: senior
**Job type**: full-time
**Salary**: $21.10 - $40.90
**Category**: Healthcare
**Industry**: Healthcare

**Apply**: https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/AZ---Work-from-home/Case-Management-Coordinator--Maricopa-County--Arizona----5000-sign-on-bonus-_R1097714?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/job/case-management-coordinator-b9941100-cda/

## Description

We're building a world of health around every individual , shaping a more connected, convenient, and compassionate health experience.

The Case Management Coordinator is a work-from-home position with travel required in Maricopa County, Arizona, to visit members. This person coordinates, documents, and communicates all aspects of the utilization/benefit management program, applying critical thinking and knowledge in clinically appropriate treatment, evidence-based care, and medical necessity criteria for members.

**Job Duties:**

- Evaluate members' needs and eligibility, recommending approaches to case resolution and meeting needs by assessing benefit plans and available programs/services.

- Identify high-risk factors and service needs impacting member outcomes and care planning, making appropriate referrals.

- Coordinate and implement care plan activities, monitoring progress.

- Enhance medical appropriateness and quality of care using a holistic approach, presenting cases at case conferences for multidisciplinary review.

- Identify and escalate quality of care issues, utilizing negotiation skills to secure suitable options and services.

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

**Required Qualifications:**

- 2+ years of experience in case management, working with people with serious mental illness, elderly individuals, and members with physical disabilities.

- Reside in Maricopa County, Arizona.

- Willingness to travel up to 50% of the time within Maricopa County, Arizona.

**Preferred Qualifications:**

- Strong organizational and time management skills.

- Ability to collaborate with internal and external partners.

- Proficiency in Microsoft Office Suite, including Outlook and Word.

- Previous experience collaborating with medical professionals.

- Bilingual (English/Spanish).

**Education:**

- Bachelor's degree in Social Work, Psychology, Special Education, or Counseling, or a licensed RN (Registered Nurse) valid in Arizona.

**Anticipated Weekly Hours:** 40

**Time Type:** Full-time

**Pay Range:** $21.10 - $40.90

**Benefits:**

This full-time position is eligible for a comprehensive benefits package, including medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

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## Skills

### Required
- case management
- critical thinking
- Microsoft Office Suite
- Spanish

### Nice to have
- organizational skills
- time management
- collaboration
- bilingual

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Source: [Apply at cvshealth.wd1.myworkdayjobs.com](https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/AZ---Work-from-home/Case-Management-Coordinator--Maricopa-County--Arizona----5000-sign-on-bonus-_R1097714?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)