Case Management Coordinator, CVS Health

CVS Health

Location:
United States, Northwest Suburbs of Chicago

Category:
-

Contract Type:
Employment contract

Salary:

21.10 - 44.99 USD / Hour

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Job Description:

This Care Management Coordinator position is with Aetna's Long Term Services & Supports (LTSS) team and is a field-based position out of the Northwest Suburbs of Chicago IL. The position holds a full caseload to manage waiver members and requires in person quarterly visits with members. This position is critical to meet contractual requirements.

Job Responsibility:

Facilitate appropriate healthcare outcomes for waiver/LTSS members by providing care coordination, support and education for members through the use of care management tools and resources
Conduct comprehensive evaluation of referred members' needs/eligibility and recommend approach to case resolution
Identify high risk factors and service needs that may impact member outcomes
Coordinate and implement assigned care plan activities and monitor care plan progress
Consult with case managers, supervisors, Medical Directors to overcome barriers to meeting goals
Identify and escalate quality of care issues through established channels
Utilize negotiation skills to secure appropriate options and services
Provide coaching, information and support to empower members
Help members actively participate with their provider in healthcare decision-making
Utilize case management and quality management processes in compliance with regulatory requirements

Requirements:

Must reside in the Northwest Suburbs of Chicago IL (Specifically Schaumburg, Hoffman Estates, Palatine, Inverness, Rolling Meadows, Elk Grove Village, Roselle, Hanover Park, or Streamwood)
Willing and able to travel up to 50% of their time to meet with members face to face
Reliable Transportation required
Minimum 2 years of experience in behavioral health, social services or human services field
Minimum 2 years of case Management experience
Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health, social services or human services field

Nice to have:

Case management and discharge planning experience
Managed Care experience
Microsoft Office experience

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
Wellness screenings
Tobacco cessation and weight management programs
Confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access
Mileage reimbursement

Additional Information:

Job Posted:
October 05, 2025

Expiration:
October 23, 2025

Employment Type:

Fulltime

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Case Management Coordinator