Case Management Coordinator

CVS Health

CVS Health case management coordinator evaluating member needs and coordinating care for Pima County communities. Providing education, referrals, care planning, and quality-of-care support from home with local travel.

Posted 8/5/2026full-timeTucson • Arizona • 🇺🇸 United StatesJuniorMid-Level💰 $21 - $41 per hourWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in case management processes, including comprehensive evaluations, care planning, and coordination of services for members with serious mental illness and physical disabilities. Proficient in utilizing motivational interviewing and collaboration with healthcare professionals to enhance member outcomes.

Highest-signal resume keywords

Case ManagementMotivational InterviewingCare PlanningBilingual English/SpanishMicrosoft Office Suite

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Case Management ProcessesComprehensive EvaluationsBenefit Plan EvaluationHolistic ApproachQuality-of-Care Issue IdentificationDocumentation and CommunicationUtilization ManagementData ReviewReferral CoordinationOrganizational Skills

Soft Skills

CollaborationTime ManagementInfluencing SkillsCoachingSupportive Communication

Certifications & Qualifications

Bachelor’s Degree in Social WorkBachelor’s Degree in PsychologyBachelor’s Degree in Special EducationBachelor’s Degree in CounselingArizona Licensed RN

Industry Keywords

Serious Mental IllnessElderly CarePhysical DisabilityHealthcare DecisionsPima County, Arizona

About the role

Key responsibilities & impact

Conduct comprehensive evaluations of referred members’ needs and eligibility using care management tools and data review
Recommend case-resolution approaches by evaluating benefit plans and internal and external programs or services
Identify high-risk factors and service needs affecting member outcomes and care planning
Make appropriate referrals and coordinate assigned care-plan activities
Monitor care-plan progress
Use a holistic approach to overcome barriers and meet goals and objectives
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’ benefit and healthcare needs
Use influencing and motivational-interviewing skills to engage members and promote lifestyle or behavior changes
Provide coaching, information, and support for independent medical and healthy-lifestyle choices
Support members in participating knowledgeably in healthcare decisions with providers
Apply case-management processes in compliance with regulatory, accreditation, and company requirements
Coordinate, document, and communicate aspects of the utilization and benefit-management program

Requirements

What you’ll need

2+ years of experience in case management
Experience working with people designated as having serious mental illness (SMI)
Experience working with elderly people or people with a physical disability
Must reside in Pima County, Arizona
Ability to travel up to 50% of the time within Pima County, Arizona
Strong organizational and time-management skills
Ability to collaborate with internal and external partners
Proficiency in Microsoft Office Suite, including Outlook and Word
Previous experience collaborating with medical professionals
Bachelor’s degree in Social Work, Psychology, Special Education, or Counseling, or a valid Arizona licensed RN
Bilingual English/Spanish listed as preferred

Benefits

Comp & perks

$5,000 sign-on bonus
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being
CVS Health bonus, commission or short-term incentive program eligibility