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CVS Health
CVS Health
Asigurare de sănătateAsistență medicalăComerț cu amănuntul
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.
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Locurile de muncă ale companiei

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.

USStatele Unite ale AmericiiILIllinois
21 $ – 44 $ / oră
HibridNormă întreagăJuniorNivel mediuLimbă Obligatorie: englezăCoordonator de cazuriGeneral

Descriere

  • 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.

Cerințe

  • 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.

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.
  • Resources supporting physical, emotional, and financial well-being.

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