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Case Management Coordinator - Field

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States , Champaign

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Category:
-

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Contract Type:
Employment contract

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Salary:

21.10 - 44.99 USD / Hour
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Job Description:

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.

Job Responsibility:

  • Evaluation of Members: Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services
  • Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate
  • Coordinates and implements assigned care plan activities and monitors care plan progress
  • Enhancement of Medical Appropriateness and Quality of Care: - Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives
  • presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes
  • Identifies and escalates quality of care issues through established channels
  • Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs
  • Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health
  • Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices
  • Helps member actively and knowledgably participate with their provider in healthcare decision-making
  • Monitoring, Evaluation and Documentation of Care: - Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures

Requirements:

  • 2 years of experience in behavioral health, social services or appropriate related field equivalent to program focus
  • Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually
  • Excellent analytical and problem-solving skills
  • Effective communications, organizational, and interpersonal skills
  • Ability to work independently
  • Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications
  • Efficient and Effective computer skills including navigating multiple systems and keyboarding
  • Must possess reliable transportation and be willing and able to travel up to 75% of the time throughout Champaign, Vermillion, Ford, Iroquois, and Piatt Counties. Mileage is reimbursed per our company expense reimbursement policy

Nice to have:

  • Case management and discharge planning experience preferred
  • Managed Care experience preferred
What we offer:
  • medical, dental, and vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
  • bonus, commission or short-term incentive program

Additional Information:

Job Posted:
May 15, 2026

Expiration:
May 29, 2026

Employment Type:
Fulltime
Work Type:
Remote work
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