Case Management Coordinator

This is a fully remote position, open to applicants in Arizona.

📋 Description

• Perform thorough assessments of the needs and eligibility of referred members.

• Suggest case-resolution strategies by analyzing benefit plans and available programs and services.

• Recognize high-risk factors and service requirements, making suitable referrals.

• Organize and execute assigned care-plan activities while monitoring progress.

• Employ a holistic approach to address barriers and achieve care objectives.

• Present cases during multidisciplinary case conferences.

• Identify and escalate any quality-of-care concerns.

• Negotiate suitable services to fulfill members' benefit and healthcare requirements.

• Utilize motivational interviewing techniques to enhance member engagement and encourage healthy behavior changes.

• Offer coaching, information, and support for independent medical and lifestyle decisions.

• Assist members in actively participating in healthcare decision-making.

• Implement case-management procedures adhering to regulatory, accreditation, and company standards.

• Coordinate, document, and communicate utilization and benefit-management efforts.

• Travel to meet members in Pinal and Maricopa Counties, Arizona.

⛳️ Requirements

• Minimum of 2 years of experience in case management.

• Experience working with individuals classified as having a serious mental illness (SMI).

• Background in working with elderly individuals or those with physical disabilities.

• Must reside in Pinal County, Arizona.

• Willingness to travel up to 50% of the time within Pinal and Maricopa Counties, Arizona.

• Bachelor’s degree in Social Work, Psychology, Special Education, or Counseling, or a valid Arizona RN license.

• Excellent organizational and time management abilities.

• Capability to collaborate effectively with both internal and external partners.

• Proficient in Microsoft Office Suite, including Outlook and Word.

• Experience in collaboration with medical professionals.

• Bilingual in English and Spanish is preferred.

🏝️ Benefits

• $5,000 sign-on bonus.

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting physical, emotional, and financial well-being, based on eligibility.

• CVS Health bonus, commission, or short-term incentive program.