# Case Management Coordinator

**Company**: CVS Health
**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/Field-Illinois-Chicago/Case-Management-Analyst---Field----Cook-County--IL_R1056059?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_dda79391-74f

## 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.

**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.

**Evaluation of Members**

- Conducts comprehensive evaluations of members' needs and eligibility using care management tools and information/data review.

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

- Identifies high-risk factors and service needs that may impact member outcomes and care planning components, with appropriate referrals to clinical case management or crisis intervention.

- Coordinates and implements assigned care plan activities and monitors care plan progress.

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

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

- Presents cases at case conferences to obtain multidisciplinary review and achieve optimal outcomes.

- Identifies and escalates quality of care issues through established channels.

- Utilises negotiation skills to secure appropriate options and services necessary to meet members' benefits and/or healthcare needs.

- Utilises influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behaviour changes to achieve optimum level of health.

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

- Engages with colleagues in ongoing team meetings and offers peer mentoring/training.

- Helps members actively and knowledgeably participate with their providers in healthcare decision-making.

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

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

**Required Qualifications**

- Candidate must reside in Cook County, IL.

- Must be willing and able to travel 50-75% of the time in Cook County and surrounding areas (reliable transportation required, mileage reimbursed per company expense reimbursement policy).

- 2+ years of experience in behavioural health, social services, or a related field equivalent to program focus.

- 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 required, with either degree being in behavioural health or human services (psychology, social work, marriage and family therapy, counselling).

**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.

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## Skills

### Required
- case management
- behavioural health
- social services
- electronic documentation
- Microsoft Office

### 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/Field-Illinois-Chicago/Case-Management-Analyst---Field----Cook-County--IL_R1056059?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)