Case Management Coordinator - Field Based (Must reside in the City of Chicago, IL)

CVS Health · Springfield, IL

Company

CVS Health

Location

Springfield, IL

Type

Full Time

Job Description

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviorsβ„’ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.Position Summary

This role provides comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues.This includes:

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-Determines medical necessity/ appropriateness

-Facilitates optimal outcomes

-Identifies and follow through with continuous quality/ compliance opportunities. May also include identification of aberrance's and initiation of corrective action

-Educates/ empowers customers to ensure compliance, satisfaction and promote patient advocacy

-Optimize total costs Implementation and evaluation of policy based on usage and program directives

-Educate/empower colleagues at all levels to enable decision making at most appropriate levelRequired Qualifications
  • Candidate must reside in one of the following zip codes ( 60644, 60651, 60622, 60610, 60611, 60612, 60607, 60646, 60601, 60602, 60603, 60604, 60609, 60605, 60653, 60615, 60606, 60632, 60615, 60636, 60621, 60619, 60629, 60629, 60620, 60619, 60623, 60624)
  • Candidate must have a valid IL Drivers License
  • Minimum 2 years of experience in behavioral health, social services or human services field
  • Minimum 2 years of case management experience
  • Willing and able to travel using your own vehicle up to 50- 75% of the time to meet members face to face
  • Reliable transportation , eligible for mileage reimbursement as per company policy
Preferred Qualifications
  • Discharge planning experience
  • Managed Care experience
  • Microsoft Office (Excel) experience
Education
  • Bachelor's Degree or licensed master level clinician required, with either degree being in behavioral health or human services required (psychology, social work, marriage and family therapy, counseling)
Pay Range

The typical pay range for this role is:$21.10 - $44.99This 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. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit Benefits | CVS HealthWe anticipate the application window for this opening will close on: 02/28/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Date Posted

02/03/2025

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