Case Management Coordinator

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

📋 Description

• Perform thorough assessments of referred members’ needs and eligibility utilizing care management tools and data analysis.

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

• Detect high-risk factors and service requirements that impact member outcomes and care planning.

• Make necessary referrals.

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

• Employ a comprehensive approach to navigate barriers and achieve objectives.

• Present cases during case conferences for multidisciplinary evaluation.

• Recognize and escalate quality-of-care concerns through the appropriate channels.

• Negotiate suitable options and services to meet members’ benefits and healthcare needs.

• Utilize influencing and motivational-interviewing techniques to enhance member engagement and encourage lifestyle or behavior modifications.

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

• Assist members in making informed healthcare decisions with their providers.

• Implement case-management processes in alignment with regulatory, accreditation, and company standards.

• Travel within Pinal and Maricopa Counties to meet with members.

⛳️ Requirements

• Minimum of 2 years of experience in case management.

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

• Experience 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 current Arizona-licensed RN.

• Excellent organizational and time management abilities.

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

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

• Prior experience in collaboration with medical professionals.

• Bilingual in English and Spanish is preferred.

🏝️ Benefits

• $5,000 sign-on bonus.

• CVS Health bonus, commission, or short-term incentive program in addition to the base salary range.

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting the physical, emotional, and financial well-being of colleagues and their families.