Care Coordinator
Valera Health$47,840 - $54,080/year
Full Time
Entry Level & New Grad, Junior (1 to 2 years)
Not SpecifiedCompensation
Mid-level (3 to 4 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Health InsuranceIndustries
Requirements
Candidates must possess a Bachelor's degree in Human Services or a related field, along with at least 2 years of case management experience working with individuals with serious mental illness, the elderly, or those with physical disabilities. Proficiency in Microsoft Outlook, Word, and Windows is required, with a preference for experience collaborating with medical professionals.
Responsibilities
The Case Management Coordinator will coordinate, document, and communicate all aspects of the utilization/benefit management program. They will conduct comprehensive evaluations of member needs, recommend case resolutions, and identify high-risk factors impacting member outcomes. Responsibilities include coordinating and monitoring care plan activities, using a holistic approach to overcome barriers, and escalating quality of care issues. The role involves utilizing negotiation and influencing skills to secure appropriate services, providing coaching to empower members, and ensuring compliance with regulatory guidelines and company policies.
Skills
Case Management
Care Coordination
Utilization Management
Benefit Management
Critical Thinking
Clinical Appropriateness
Evidence-Based Care
Medical Necessity
Care Planning
Negotiation
Motivational Interviewing
CVS Health
Comprehensive pharmacy and healthcare services
About CVS Health
CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.
Woonsocket, Rhode IslandHeadquarters
1963Year Founded
DEBTCompany Stage
Healthcare, Consumer GoodsIndustries
10,001+Employees
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Disability Insurance
401(k) Retirement Plan
Company Equity
Wellness Program
Professional Development Budget
Paid Vacation
Paid Holidays
Risks
Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.
The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.
The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.
Differentiation
CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.
The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.
CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.
Upsides
Expansion of telehealth services allows CVS to reach more patients remotely.
Increased consumer interest in wellness boosts demand for CVS's health-related products.
The trend towards value-based care aligns with CVS's integrated healthcare approach.
Related Jobs
RemoteRemoteCare Coordinator
HumanaSalary not specified
- Full Time
- Mid-level (3 to 4 years)
RemoteCare Manager - NeuroNav
Pear VCSalary not specified
- Full Time
- Mid-level (3 to 4 years), Senior (5 to 8 years)
RemoteProject & Training Coordinator, Client Services
CatalistSalary not specified
- Part Time
- Mid-level (3 to 4 years)
RemoteCare Coordinator
HumanaSalary not specified
- Full Time
- Mid-level (3 to 4 years)
RemoteHealthcare Advocate (Remote 1099 • Licensure Required)
Solace HealthSalary not specified
- Full Time
- Mid-level (3 to 4 years)
RemoteSupport Experience Coordinator (REMOTE)
AlteraSalary not specified
- Full Time
- Entry Level & New Grad
RemotePhysician Coordinator - Government Services
Blank StreetSalary not specified
- Full Time
- Junior (1 to 2 years)
RemoteCare Manager - Behavioral Health
HumanaSalary not specified
- Full Time
- Mid-level (3 to 4 years), Senior (5 to 8 years)
RemoteGeriatrician - Licensed in OH, WA, NV, FL (Preferred)
RVO Health$250,000 - $275,000/year
- Full Time
- Senior (5 to 8 years)
RemoteCare Manager RN, Physical Health
HumanaSalary not specified
- Full Time
- Mid-level (3 to 4 years), Senior (5 to 8 years)
RemoteClient Support Specialist
RooSalary not specified
- Full Time
- Entry Level & New Grad, Junior (1 to 2 years)