CVS Health
CVS Health
CVS Health sog‘liqni saqlash xizmatlari, tibbiy sug‘urta, dorixona imtiyozlarini boshqarish va chakana dorixona faoliyati yo‘nalishlarida ishlaydigan Amerika kompaniyasidir. Aetna va CVS Caremark kabi bizneslari orqali tibbiy sug‘urta qamrovi, retsept bo‘yicha dori vositalaridan foydalanish, kasalliklarni boshqarish, maxsus dori-darmonlar va pochta orqali dorixona xizmatlarini taqdim etadi. Uning mahalliy dorixonalari va keng qamrovli tibbiy xizmatlari odamlarga zarur tibbiy yordamdan qulayroq va hamyonboproq foydalanishga yordam berish uchun mo‘ljallangan. CVS Health sug‘urta, dorixona va sog‘liqni saqlash xizmatlarini birlashtirib, insonlar va jamoalarni davolanish jarayonining barcha bosqichlarida qo‘llab-quvvatlaydi.

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.

Tavsif

  • 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.

Talablar

  • 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.

Imtiyozlar

  • 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.

O‘xshash ish o‘rinlari

Johnson & Johnson

Senior Techno-Vigilance Analyst – Johnson & Johnson, Hybrid in Mexico City

Johnson & Johnson

Oversee drug and medical device safety monitoring at Johnson & Johnson, investigating signals and root causes. Improve safety processes and help manage product risks across development, clinical trials, and regulatory approval.

Ochish
Pets Deli

Senior Backend Engineer, Elixir/Phoenix

Pets Deli

Build Pets Deli’s Elixir/Phoenix platform for pet food orders, checkout, billing and subscriptions. Migrate legacy services while guiding architecture, reliability and delivery.

Ochish
YASH Technologies

Senior Core Java Software Engineer

YASH Technologies

Build and maintain enterprise Java applications at YASH Technologies, a technology integrator. The role includes designing and optimizing solutions, deploying software, and mentoring developers.

Ochish
Snowflake

Senior Engagement Manager, Frontier Engineering

Snowflake

Lead Snowflake’s New Zealand customer engagements in data and AI transformation, guiding work from discovery through production outcomes. Own sales, delivery, financial performance, and account expansion across each engagement.

Ochish
Ultralytics

Founding Engineer, Computer Vision

Ultralytics

Build Ultralytics YOLO computer vision models, APIs, and infrastructure while establishing the company’s New York engineering team. Take technical ownership from architecture through production and iteration.

Ochish