Field Case Management Coordinator

CVS Health

Case Management Coordinator supporting dual eligible populations in healthcare by collaborating with members, providers, and community organizations. Utilizing critical thinking to improve healthcare outcomes while working remotely.

Posted 7/23/2026full-timeRemote • Illinois • 🇺🇸 United StatesJuniorMid-Level💰 $21 - $45 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management processes, including comprehensive evaluation of member needs, care plan coordination, and effective communication with multidisciplinary teams. Proficient in utilizing care management tools and regulatory compliance to achieve optimal healthcare outcomes.

Highest-signal resume keywords

Case Management ExperienceBehavioral Health KnowledgeAnalytical SkillsEffective CommunicationProficiency in MS Office

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Case ManagementDischarge PlanningBehavioral HealthAnalytical SkillsProblem-SolvingCare Plan CoordinationQuality Management ProcessesMotivational InterviewingNegotiation SkillsMember Engagement

Soft Skills

Interpersonal SkillsOrganizational SkillsIndependent ThinkingTeam CollaborationPeer Mentoring

Tools & Technologies

MS WordMS ExcelMS OutlookMS PowerPointProprietary Applications

Industry Keywords

Managed CareHealthcare OutcomesCrisis InterventionRegulatory ComplianceAccreditation Guidelines

About the role

Key responsibilities & impact

Utilizes critical thinking and judgment to collaborate and inform the case management process
Facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources
Conducts comprehensive evaluation of 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 referral to clinical case management or crisis intervention as appropriate
Coordinates and implements assigned care plan activities and monitors care plan progress
Consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting 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
Engages with colleagues in ongoing team meetings and offers peer mentoring/training
Helps member actively and knowledgably participate with their provider in healthcare decision-making
Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures

Requirements

What you’ll need

Case management and discharge planning experience preferred
2 years experience in behavioral health, social services or appropriate related field equivalent to program focus
Managed Care experience preferred
Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually
Ability to 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
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, dental, and vision coverage
paid time off
retirement savings options
wellness programs
other resources, based on eligibility