Case Management Coordinator - Field Illinois (Northwest Cook County, IL) at CVS Health

Schaumburg, Illinois, United States

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

2+ years experience in Behavioral Health, Social Services or appropriate related field equivalent to program focus
Willing and able to travel 50-75% of the time in Northwest Cook County, Illinois; reliable transportation required (mileage reimbursed per company policy)
2+ years of experience with electronic documentation and Microsoft Office applications
Bachelor's degree or non-licensed master level clinician required in Behavioral Health or Human Services (Psychology, Social Work, Marriage and Family Therapy, Counseling)

Responsibilities

Conducts comprehensive evaluation of member’s needs/eligibility using care management tools and data review; recommends approach to case resolution by evaluating benefit plan and available programs/services
Identifies high risk factors and service needs impacting member outcomes; refers to clinical case management or crisis intervention as appropriate
Coordinates and implements assigned care plan activities; monitors care plan progress
Consults with case managers, supervisors, Medical Directors, and/or other health programs using a holistic approach to overcome barriers to goals; presents cases at conferences for multidisciplinary review to achieve optimal outcomes
Identifies and escalates quality of care issues through established channels
Utilizes negotiation skills to secure appropriate options and services meeting member’s benefits and/or healthcare needs
Uses influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes for optimum health
Provides coaching, information, and support to empower members to make independent medical and healthy lifestyle choices
Engages with colleagues in team meetings; offers peer mentoring/training
Helps members actively and knowledgably participate with their provider in healthcare decision-making
Utilizes case management and quality management processes in compliance with regulatory, accreditation guidelines, and company policies/procedures

Skills

Key technologies and capabilities for this role

Case ManagementCare CoordinationAppointment SchedulingBenefit AdministrationMember EvaluationCare PlanningRisk AssessmentHealthcare NavigationCritical Thinking

Questions & Answers

Common questions about this position

Is this position remote or does it require travel?

This is a full-time telework position requiring 50-75% travel in Northwest Cook County, Illinois.

What are the working hours for this role?

Hours are Monday-Friday 8:00a-5:00pm Central Time.

What key skills are needed for the Case Management Coordinator role?

The role requires critical thinking and judgment, negotiation skills, influencing/motivational interviewing skills, and the ability to collaborate with case managers, supervisors, and multidisciplinary teams.

What is the salary or compensation for this position?

This information is not specified in the job description.

What experience or qualities make a strong candidate for this role?

Strong candidates will have experience in case management, care coordination, evaluating member needs using care management tools, and skills in motivational interviewing, negotiation, and team collaboration.

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.

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