Clinical Case Manager

CVS Health

Community Care Case Manager role focused on elevating patient care and coordinating services for community members. Collaboration with diverse stakeholders to ensure comprehensive health management and eligibility benefits.

Posted 5/6/2026full-timeIllinois • 🇺🇸 United StatesMid-LevelSenior💰 $66,575 - $142,576 per yearWebsite

About the role

Key responsibilities & impact

Help elevate patient care to a whole new level
Join Community Care team as an industry leader in serving members
Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities.
Develops, implements, and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work.
Acts as a liaison with member/client/family, employer, provider(s), insurance companies, and healthcare personnel as appropriate.
Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care including consultant referrals, home care visits, and alternative levels of care.
Interacts with members/clients telephonically or in person.
Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care.
Communicates with member/client and other stakeholders as appropriate (e.g., medical providers, attorneys, employers and insurance carriers) telephonically or in person.
Prepares all required documentation of case work activities as appropriate.
Interacts and consults with internal multidisciplinary team as indicated.

Requirements

What you’ll need

Minimum 3-5 years clinical practical experience preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members.
Minimum 2-3 years CM, discharge planning and/or home health care coordination experience
Ability to occasionally travel within a designated geographic area for in-person case management activities as directed by Leadership and/or as business needs arise
Excellent analytical and problem-solving skills
Effective communications, organizational, and interpersonal skills.
Ability to work independently (may require working from home).
Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications.
Efficient and Effective computer skills including navigating multiple systems and keyboarding.

Benefits

Comp & perks

medical coverage
dental coverage
vision coverage
paid time off
retirement savings options
wellness programs

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

case managementdischarge planninghome health care coordinationclinical experiencemedical assessmentvocational assessmentcare plan developmenthealth strategieswellness programsbenefits eligibility

Soft Skills

analytical skillsproblem-solving skillscommunication skillsorganizational skillsinterpersonal skillsindependent workteam collaborationliaison skillscustomer serviceadaptability