Case Management Coordinator – Field, Illinois

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

📋 Description

• Assess the needs and eligibility of members by utilizing care management tools and reviewing relevant information/data.

• Suggest strategies for case resolution and fulfilling members’ needs by analyzing benefit plans and available programs/services.

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

• Refer members to clinical case management or crisis intervention services when necessary.

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

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

• Present cases during case conferences for multidisciplinary evaluation.

• Identify and escalate issues related to quality of care.

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

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

• Mentor and support members in making informed medical and healthy lifestyle decisions.

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

• Attend team meetings and engage in peer mentoring/training.

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

⛳️ Requirements

• A minimum of 2 years of experience in Behavioral Health, Social Services, or a relevant field equivalent to program focus.

• Willingness and capability to travel 50-75% of the time across Will, Kankakee, and Grundy Counties and adjacent areas in Illinois.

• Reliable transportation is a must.

• At least 2 years of experience in electronic documentation.

• Proficient in Microsoft Office applications.

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

• Availability during standard business hours, Monday through Friday, from 8:00 am to 5:00 pm CST.

🏝️ Benefits

• Mileage reimbursement in accordance with our company expense reimbursement policy.

• Medical insurance coverage.

• Dental insurance coverage.

• Vision insurance coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

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

• Eligibility for CVS Health bonuses, commissions, or short-term incentive programs.