Case Management Coordinator (West Valley, Arizona) ($5000 sign-on bonus)

Az - Work From HomeRemotemid

OperationsManagement

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Quick Summary

Overview

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®,

Technical Tools

OperationsManagement

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

What We Offer

~2 min read

✓Evaluation of MembersThrough the use of care management tools and information/data review, conducts comprehensive evaluation of referred member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services.

✓Identifies high-risk factors and service needs that may impact member outcomes and care planning components with appropriate referrals.

✓Coordinates and implements assigned care plan activities and monitors care plan progress.

✓Enhancement of Medical Appropriateness and Quality of CareUses a holistic approach to overcome barriers to meet goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.

✓Identifies and escalates quality of care issues through established channels.

✓Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs.

✓Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.

✓Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.

✓Helps member actively and knowledgably participate with their provider in healthcare decision-making.

✓Monitoring, Evaluation, and Documentation of CareUtilizes case management processes in compliance with regulatory and accreditation guidelines, as well as company policies and procedures.

Requirements

~1 min read

2+ years of experience in case management, working with people who have been designated as having a serious mental illness (SMI) and working with people who are elderly.
Must reside in West Valley, Arizona.
Ability to travel up to 50% of the time within West Valley, Arizona.

Previous experience working with members with a physical disability.
Strong organizational and time management skills.
Ability to collaborate with both internal and external partners.
Demonstrated proficiency in Microsoft Office Suite, including Outlook, Word, etc.
Previous experience collaborating with medical professionals.
Bilingual (English/Spanish).
Bachelor’s degree in Social Work, Psychology, Special Education, or Counseling.

Bachelor’s degree or licensed RN (Registered Nurse), valid in the state of Arizona.

Full time

The typical pay range for this role is:

$21.10 - $40.90

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.