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We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Candidates must be located in Miami Dade county, in the surrounding Hialeah area. This role will require 50-75% travel for face-to-face visits with members in Miami Dade. Schedule is Monday-Friday, 8:00am-5:00pm, standard business hours. We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our Case Management team. This opportunity offers a competitive salary and full benefits. Our organization promotes autonomy through a Monday Friday working schedule, paid holidays, and flexibility as you coordinate the care of your members.
Job Responsibility:
Telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness
Effectively manage a caseload that includes supportive and medically complex members
Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration
Determine appropriate services and supports due to member's health needs
including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports
Requirements:
Bi-lingual, English, and Spanish
Must reside in Hialeah FL, applicable zip codes 33010, 33012, 33013,33014, 33015, 33016, 33018, 33142, & 33147
Willing and able to travel 50-75% of their time to meet members face to face in Miami Dade county and surrounding areas in Hialeah FL
1 + year of experience in behavioral health or a long-term care setting
Computer proficiency in Microsoft Word, Excel, and Outlook required
Bachelor's degree required, preferably in Social Work or related field required
Nice to have:
Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment
Effective communication skills, both verbal and written
Managed Care experience
Case management and discharge planning experience
What we offer:
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching