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CVS Health
CVS Health
HealthcareHealthcare InsuranceRetail
CVS Health is an American healthcare company working across healthcare services, health insurance, pharmacy benefits management, and retail pharmacy. Through businesses including Aetna and CVS Caremark, it supports health coverage, prescription access, condition management, specialty medications, and mail-order pharmacy services. Its neighborhood pharmacies and broader care offerings are designed to help people access essential healthcare more conveniently and affordably. CVS Health brings together insurance, pharmacy, and health services to support individuals and communities throughout their care journeys.
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Field Case Management Coordinator – Illinois Hybrid

Support Aetna members with complex healthcare and social needs across Illinois. Assess care needs, coordinate services, and help improve health outcomes.

USUnited StatesILIllinois
$21 – $44 / hour
HybridFull-timeJuniorMiddleEnglish RequiredCase CoordinatorGeneral

Description

  • Assess member needs and eligibility through care management tools, available information, and data review.
  • Evaluate benefit plans, programs, and services to recommend solutions that address member needs and resolve cases.
  • Recognize high-risk factors and service requirements, referring members to clinical case management or crisis intervention when appropriate.
  • Coordinate assigned care plan activities and track progress toward planned goals.
  • Work with case managers, supervisors, Medical Directors, and other health programs to address barriers to care objectives.
  • Present cases during multidisciplinary conferences to support comprehensive review and optimal outcomes.
  • Identify quality-of-care concerns and escalate them through established processes.
  • Negotiate suitable benefit and healthcare service options based on members' needs.
  • Apply influencing and motivational interviewing techniques to engage members and encourage lifestyle and behavior changes.
  • Offer coaching, information, and support that enable independent healthcare and healthy lifestyle decisions.
  • Participate in team meetings and contribute to peer mentoring and training.
  • Help members engage knowledgeably with providers in healthcare decisions.
  • Apply case and quality management procedures in accordance with regulatory, accreditation, and company standards.
  • Support members with appointment scheduling, benefit access, and health education.

Requirements

  • Two years of experience in behavioral health, social services, or a related field aligned with the program focus.
  • Confidence working independently from home and collaborating with teams through virtual tools.
  • Ability to travel within an assigned geographic area for in-person case management activities as directed by leadership or business needs.
  • Strong analytical and problem-solving capabilities.
  • Effective communication, organization, and interpersonal skills.
  • Ability to work independently.
  • Proficiency with standard corporate software, including Microsoft Word, Excel, Outlook, PowerPoint, and selected proprietary applications.
  • Efficient computer skills, including navigation across multiple systems and keyboarding.
  • Bachelor's degree or a non-licensed master's-level clinician qualification 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

  • Eligibility for a CVS Health bonus, commission, or short-term incentive program in addition to base pay.
  • Medical coverage.
  • Dental coverage.
  • Vision coverage.
  • Paid time off.
  • Retirement savings options.
  • Wellness programs.
  • Resources supporting physical, emotional, and financial well-being.

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