Case Management Coordinator
5 days ago
Job Summary
This is a full-time telework position open to candidates in the United States. Schedule for this position is Monday-Friday 8:00a-5:00p in the assigned market time zone.
Position Overview
As a Case Management Coordinator at CVS Health, you will play a critical role in elevating patient care to a whole new level. You will collaborate with members, providers, and community organizations to address the full continuum of our members' healthcare and social determinant needs.
Key Responsibilities
- Evaluate members' needs and eligibility, and recommend approaches to case resolution and/or meeting needs.
- Identify high-risk factors and service needs that may impact member outcomes and care planning components.
- Coordinate and implement assigned care plan activities and monitor care plan progress.
- Enhance medical appropriateness and quality of care by consulting with case managers, supervisors, Medical Directors, and/or other health programs.
- Identify and escalate quality of care issues through established channels.
- Utilize negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs.
- Provide coaching, information, and support to empower members to make ongoing independent medical and/or healthy lifestyle choices.
Requirements
- 2+ years of experience in behavioral health or social services.
- Ability to work 8:00a-5:00p in the assigned market time zone.
- 2+ years of experience with Microsoft Office applications (Word, Excel, Outlook).
Preferred Qualifications
- Case management and discharge planning experience.
- Managed Care experience.
Education
Bachelor's degree or non-licensed master level clinician with either degree being in behavioral health or human services preferred (psychology, social work, marriage and family therapy, counseling) or equivalent experience.
Pay Range
The typical pay range for this role is $40.90 per hour. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography, and other relevant factors.
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