CVS Health is the nation’s leading health solutions company, dedicated to transforming health care. The Case Management Coordinator is responsible for assessing, planning, implementing, and coordinating case management activities to enhance member wellness, requiring significant travel for face-to-face visits.
Responsibilities
- Assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness
- Effectively manage a caseload that includes supportive and medically complex members
- Develop a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration
- Determine appropriate services and supports due to member's health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports
Skills
- Bilingual, English, and Spanish
- Must reside in Kendal FL (Applicable Zip Code: 33184, 33172, or 33186)
- Willing and able to travel 50-75% of their time to meet members face to face in Miami Dade county and surrounding areas in FL
- 1+ year of experience in behavioral health or a long-term care setting
- Bachelor's degree required, preferably in social work or related field required
- Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment
- Effective communication skills, both verbal and written
- Managed Care experience
- Computer proficiency in Microsoft Word, Excel, and Outlook required
- Case management and discharge planning experience
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility
Company Overview
CVS Health is a health solutions company that provides an integrated healthcare services to its members. It was founded in 1963, and is headquartered in Woonsocket, Rhode Island, USA, with a workforce of 10001+ employees. Its website is https://www.cvshealth.com/.
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