Case Management Coordinator – Field

CVS Health

CVS Health case management coordinator supporting Aetna members with complex health and social needs in Winnebago County. Coordinating care plans, benefits access, referrals, and member engagement.

Posted 8/4/2026full-timeRockford • Illinois • 🇺🇸 United StatesJuniorMid-Level💰 $21 - $45 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in case management and quality management processes, with a strong focus on behavioral health and social services. Proficient in engaging members through motivational interviewing and effective communication to promote healthy lifestyle choices and navigate healthcare decision-making.

Highest-signal resume keywords

Case Management ExperienceBehavioral Health ExpertiseMotivational Interviewing SkillsAnalytical Problem-Solving SkillsManaged Care Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Case ManagementDischarge PlanningBehavioral HealthData ReviewQuality Management ProcessesBenefit Plan EvaluationCrisis InterventionHealthcare Decision-MakingAnalytical SkillsOrganizational Skills

Soft Skills

Effective CommunicationInterpersonal SkillsCoaching SkillsTeam CollaborationIndependent Work

Tools & Technologies

MS WordMS ExcelMS OutlookMS PowerPointProprietary Applications

Certifications & Qualifications

Bachelor’s Degree in Behavioral HealthMaster Level Clinician (Non-Licensed)

Industry Keywords

Social ServicesHealthcareManaged CareQuality of CareAccreditation Compliance

About the role

Key responsibilities & impact

Evaluate members’ needs and eligibility using care management tools, information, and data review
Recommend approaches to case resolution and meeting member needs by evaluating benefit plans and available programs and services
Identify high-risk factors and service needs and refer members to clinical case management or crisis intervention when appropriate
Coordinate and implement assigned care plan activities and monitor progress
Consult with case managers, supervisors, Medical Directors, and other health programs to overcome care barriers
Present cases at case conferences for multidisciplinary review
Identify and escalate quality-of-care issues through established channels
Negotiate appropriate options and services to meet members’ benefits and healthcare needs
Use influencing and motivational interviewing skills to engage members and promote lifestyle and behavior changes
Coach, inform, and support members in making independent medical and healthy lifestyle choices
Help members participate knowledgeably with providers in healthcare decision-making
Participate in team meetings and provide peer mentoring/training
Apply case management and quality management processes in compliance with regulatory, accreditation, and company requirements

Requirements

What you’ll need

Must live near Winnebago County
2 years of experience in behavioral health, social services, or an appropriate related field equivalent to the program focus
Confidence working at home and independently while using tools to collaborate virtually with teams
Reliable transportation and willingness and ability to travel up to 75% of the time in and around Winnebago County
Excellent analytical and problem-solving skills
Effective communication, organizational, and interpersonal skills
Ability to work independently
Proficiency with MS Word, Excel, Outlook, PowerPoint, and proprietary applications
Efficient computer skills, including navigating multiple systems and keyboarding
Bachelor’s degree or non-licensed master level clinician required, in behavioral health or human services such as psychology, social work, marriage and family therapy, or counseling
Case management and discharge planning experience preferred
Managed Care experience preferred

Benefits

Comp & perks

Mileage is reimbursed per our company expense reimbursement policy
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being