Case Management Coordinator

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

📋 Description

• Oversee, document, and convey all facets of the utilization and benefit management program.

• Assess the needs and eligibility of referred members utilizing care management tools and data analysis.

• Propose case-resolution strategies by reviewing benefit plans and available programs and services.

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

• Organize and execute care plan activities while tracking the progress of care plans.

• Employ a holistic method to navigate obstacles and achieve goals and objectives.

• Present cases during multidisciplinary case conferences for comprehensive review.

• Identify and report quality-of-care concerns through designated channels.

• Negotiate suitable options and services to fulfill members’ benefits and healthcare requirements.

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

• Provide guidance, information, and support for independent medical choices and healthy lifestyle decisions.

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

• Implement case management procedures in accordance with regulatory, accreditation, and company standards.

• Travel within Maricopa County to meet with members.

⛳️ Requirements

• Minimum of 2 years of experience in case management.

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

• Experience with elderly populations.

• Must be a resident of Maricopa County, Arizona.

• Willing to travel up to 50% of the time within Maricopa County, Arizona.

• Bachelor’s degree in Social Work, Psychology, Special Education, or Counseling, or possess a valid Arizona licensed RN (Registered Nurse) credential.

• Previous experience with members who have physical disabilities is preferred.

• Strong organizational and time management abilities.

• Capacity to work collaboratively with both internal and external partners.

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

• Prior experience collaborating with healthcare professionals.

• Bilingual in English and Spanish is preferred.

🏝️ Benefits

• $5000 sign-on bonus.

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

• Medical insurance.

• Dental insurance.

• Vision insurance.

• Paid time off.

• Retirement savings options.

• Wellness programs.

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