Case Management Coordinator – Field
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Job Description
Case Management Coordinator supporting CVS Health members through care planning, benefits access, and healthcare coordination. Full-time telework field role serving Illinois counties with 50-75% travel.
Responsibilities:
- Collaborate and inform the case management process
- Facilitate appropriate healthcare outcomes for members
- Assist with appointment scheduling
- Identify and assist members with accessing benefits and education using care management tools and resources
- Evaluate members' needs, eligibility, benefit plans, and available programs or services
- Identify high-risk factors and service needs and refer to clinical case management or crisis intervention as appropriate
- Coordinate and implement assigned care plan activities and monitor progress
- Consult with case managers, supervisors, Medical Directors, and other health programs to overcome barriers
- Present cases at case conferences for multidisciplinary review
- Identify and escalate quality-of-care issues
- Negotiate appropriate options and services for members' benefits and healthcare needs
- Use influencing and motivational interviewing skills to promote member engagement and behavior changes
- Provide coaching, information, and support for independent medical and healthy lifestyle choices
- Engage in team meetings and provide peer mentoring/training
- Help members participate knowledgeably in healthcare decision-making
- Use case management and quality management processes in compliance with regulatory, accreditation, and company requirements
Requirements:
- 2+ years experience in Behavioral Health, Social Services or appropriate related field equivalent to program focus
- Must be willing and able to travel 50-75% of the time in DuPage, Kane, DeKalb, Kendall Counties, Illinois
- Reliable transportation required
- Must have 2+ years of experience of electronic documentation experience and Microsoft Office applications
- Case management and discharge planning experience preferred
- Managed Care experience preferred
- Bachelor's degree or non-licensed master level clinician required
- Degree must be in Behavioral Health or Human Services (Psychology, Social Work, Marriage and Family therapy, Counseling)
Benefits:
- Mileage is reimbursed per our company expense reimbursement policy
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being, based on eligibility
- CVS Health bonus, commission or short-term incentive program in addition to base pay range
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