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Case Management Coordinator

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States , Rockford

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Category:
-

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Contract Type:
Not provided

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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:

  • Facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources
  • Conduct 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
  • Identify 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
  • Coordinate and implement assigned care plan activities and monitors care plan progress
  • 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
  • Identify and escalate quality of care issues through established channels
  • Utilize negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs
  • Utilize influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health
  • Provide coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices
  • Help member actively and knowledgeably participate with their provider in healthcare decision-making
  • Utilize case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures

Requirements:

  • Minimum 2 years of experience in behavioral health, social services or human services field
  • Minimum 2 years of case Management experience
  • Must reside in Rockford IL
  • Must have a valid IL Drivers License
  • Willing and able to travel up to 50- 75% of the time to meet members face to face in Rockford, IL and surrounding areas
  • Reliable transportation required
  • Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health or human services required (psychology, social work, marriage and family therapy, counseling)

Nice to have:

  • Discharge planning experience
  • Managed Care experience
  • Microsoft Office experience
What we offer:
  • Mileage is reimbursed per our company expense reimbursement policy
  • 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
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access
  • CVS Health bonus, commission or short-term incentive program

Additional Information:

Job Posted:
March 24, 2026

Expiration:
April 06, 2026

Employment Type:
Fulltime
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