Care Management Specialist

6 days ago


Tallahassee, Florida, United States CVS Health Full time
Job Opportunity

We are seeking a highly motivated and organized Case Management Coordinator to join our team at CVS Health.

About the Role

This is an exciting opportunity for a dedicated professional to make a meaningful impact in the lives of our members. As a Case Management Coordinator, you will be responsible for assessing, planning, implementing, and coordinating case management activities to evaluate the medical needs of our members and facilitate their overall wellness.

The ideal candidate will have excellent communication skills, both verbal and written, and be able to effectively manage a caseload that includes supportive and medically complex members. You will also be responsible for determining appropriate services and supports due to member's health needs, including prior authorizations, coordination with PCP and skilled providers, condition management information, medication review, community resources, and supports.

Key Responsibilities
  • Evaluate the medical needs of our members to identify opportunities for improvement in their overall wellness
  • Develop and implement proactive plans to address issues presented by members
  • Effectively communicate with members, healthcare providers, and other stakeholders to ensure seamless care coordination
  • Maintain accurate and up-to-date records of member interactions and case management activities
Requirements
  • Bachelor's degree in social work or related field required
  • 1 + year of experience in behavioral health or a long-term care setting
  • Effective communication skills, both verbal and written
  • Computer proficiency in Microsoft Word, Excel, and Outlook
Preferred Qualifications
  • Bi-lingual, English, and Spanish preferred
  • Ability to multitask, prioritize, and effectively adapt to a fast-paced changing environment
  • Managed Care experience
  • Case management and discharge planning experience
Salary and Benefits

The estimated salary range for this role is $21.10 - $36.78 per hour, based on location and experience. Our organization offers a competitive benefits package, including paid holidays, flexible scheduling, and opportunities for professional growth and development.



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