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CVS Health este o companie americană din domeniul sănătății, care activează în servicii medicale, asigurări de sănătate, gestionarea beneficiilor farmaceutice și farmacii cu vânzare cu amănuntul. Prin companii precum Aetna și CVS Caremark, aceasta sprijină acoperirea medicală, accesul la medicamente eliberate pe bază de rețetă, gestionarea afecțiunilor, medicamentele specializate și serviciile de farmacie prin comenzi prin poștă. Farmaciile sale de proximitate și serviciile extinse de îngrijire sunt concepute pentru a-i ajuta pe oameni să acceseze mai ușor și mai accesibil servicii medicale esențiale. CVS Health reunește asigurările, farmacia și serviciile de sănătate pentru a sprijini persoanele și comunitățile pe tot parcursul experienței lor de îngrijire.
Case Management Coordinator – Field, Illinois
Support CVS Health members through telework and field-based care coordination in Cook County, Illinois. Assess needs, coordinate care plans, and help improve healthcare outcomes.
Descriere
- Assess members’ needs and eligibility through care management tools and information review
- Evaluate benefit plans and available programs to recommend solutions for member needs
- Recognize high-risk factors and service needs, referring members to clinical case management or crisis intervention when appropriate
- Coordinate assigned care plan activities and track member progress
- Work with case managers, supervisors, Medical Directors, and other health programs to address barriers to care goals
- Present cases for multidisciplinary review during case conferences
- Escalate quality-of-care concerns through established channels
- Arrange suitable options and services that address members’ benefits and healthcare needs
- Engage members with influencing and motivational interviewing techniques to encourage lifestyle or behavior changes
- Offer coaching, information, and support for independent medical and healthy lifestyle decisions
- Attend team meetings and provide peer mentoring or training
- Help members make informed healthcare decisions with their providers
- Follow case management and quality management processes in line with regulatory, accreditation, and company guidelines
Cerințe
- At least two years of experience in behavioral health, social services, or a related field aligned with the program focus
- Ability and willingness to travel 50–75% of the time throughout Cook County, Illinois, primarily Chicago’s West Side
- Reliable transportation
- At least two years of experience with electronic documentation
- Experience using Microsoft Office applications
- Bachelor’s degree or 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
Beneficii
- Mileage reimbursement under the company’s expense reimbursement policy
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Additional resources supporting physical, emotional, and financial well-being
- Eligibility for CVS Health bonus, commission, or short-term incentive programs
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