Case Management Coordinator

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

📋 Description

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

• Suggest case resolution strategies based on the members' benefits and available services/programs.

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

• Organize and execute assigned care plan activities while tracking progress.

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

• Present cases at multidisciplinary case conferences for review.

• Identify 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 encourage member engagement and promote healthy behavior changes.

• 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 adhering to regulatory, accreditation, and company standards.

⛳️ Requirements

• A minimum of 2 years of experience in case management.

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

• Background in working with elderly populations.

• Experience assisting members with physical disabilities.

• Must be a resident of Maricopa County, Arizona.

• Willingness to travel up to 50% within Maricopa County, Arizona.

• Strong organizational and time management abilities.

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

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

• Previous experience working alongside medical professionals.

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

🏝️ Benefits

• $5000 sign-on bonus.

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

• Medical insurance coverage.

• Dental insurance coverage.

• Vision insurance coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

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