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.
Field Case Management Coordinator
Coordinate care for Aetna members with complex health and social needs across Illinois. Support care plans, benefits access, referrals, and member engagement.
Descriere
- Assess members’ needs and eligibility using care management tools and available data.
- Recommend case-resolution strategies and review benefit plans, programs, and services.
- Identify high-risk factors and service needs, referring members to clinical case management or crisis support when appropriate.
- Coordinate assigned care-plan activities and track progress.
- Work with case managers, supervisors, Medical Directors, and other health programs to address barriers.
- Present cases at multidisciplinary conferences to support effective outcomes.
- Identify and escalate concerns about quality of care.
- Arrange suitable options and services that address members’ benefit and healthcare needs.
- Use motivational interviewing to encourage member participation and support lifestyle and behavior changes.
- Coach members and provide information and support for independent medical and healthy lifestyle choices.
- Participate in team meetings and mentor or train peers.
- Help members make informed healthcare decisions with their providers.
- Follow case 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 relevant to the program.
- Confidence working independently from home and collaborating with teams using virtual tools.
- Ability to travel within an assigned area for in-person case management as directed by leadership or business needs.
- Strong analytical and problem-solving skills.
- Effective communication, organization, and interpersonal skills.
- Ability to work independently.
- Proficiency with Microsoft Word, Excel, Outlook, PowerPoint, and proprietary applications.
- Efficient computer skills, including navigating multiple systems and keyboarding.
- Bachelor’s degree or a non-licensed master’s-level clinician credential.
- Degree in behavioral health or human services, such as psychology, social work, marriage and family therapy, or counseling.
Beneficii
- 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.
- Additional resources supporting physical, emotional, and financial well-being.