Case Management Coordinator – Field

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

📋 Description

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

• Propose solutions for case resolution and fulfilling member requirements by assessing benefit plans and available programs/services.

• Recognize high-risk factors and service needs, providing suitable referrals to clinical case management or crisis intervention services.

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

• Collaborate with case managers, supervisors, Medical Directors, and other health programs to address challenges.

• Present cases during case conferences for multidisciplinary evaluations.

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

• Negotiate suitable options and services for members' benefits and healthcare needs.

• Utilize influencing and motivational interviewing techniques to engage members and encourage lifestyle and behavioral modifications.

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

• Participate in team meetings and provide peer mentoring and training.

• Assist members in making informed healthcare decisions.

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

⛳️ Requirements

• Minimum of 2 years of experience in Behavioral Health, Social Services, or a related field relevant to the program focus.

• Must be willing and able to travel 50-75% of the time within Southern Chicago, Illinois.

• Reliable transportation is necessary.

• At least 2 years of experience with electronic documentation.

• Proficient in Microsoft Office applications.

• A Bachelor's degree or a non-licensed master's level clinician is required, with a degree in Behavioral Health or Human Services (Psychology, Social Work, Marriage and Family Therapy, Counseling).

🏝️ Benefits

• Mileage reimbursement according to the company expense reimbursement policy.

• Medical insurance coverage.

• Dental insurance coverage.

• Vision insurance coverage.

• Paid time off.

• Retirement savings options available.

• Wellness programs offered.

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

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