CVS Health je ameriško zdravstveno podjetje, ki deluje na področju zdravstvenih storitev, zdravstvenega zavarovanja, upravljanja lekarniških ugodnosti in maloprodajnih lekarn. Prek podjetij, kot sta Aetna in CVS Caremark, podpira zdravstveno kritje, dostop do zdravil na recept, obvladovanje zdravstvenih stanj, specializirana zdravila in lekarniške storitve naročanja po pošti. Njegove lokalne lekarne in širša ponudba zdravstvene oskrbe so zasnovane tako, da ljudem omogočajo udobnejši in cenovno dostopnejši dostop do nujno potrebne zdravstvene oskrbe. CVS Health združuje zavarovanje, lekarniške in zdravstvene storitve ter tako podpira posameznike in skupnosti skozi celotno pot njihove zdravstvene oskrbe.
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.
Opis
- 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.
Zahteve
- 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.
Ugodnosti
- 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.