Case Management Coordinator

CVS Health

. Evaluate referred members’ needs and eligibility using care management tools and information/data review .

Posted 11/10/2026full-timeRemote • Arizona • United StatesJuniorMid-Level💰 $21 - $41 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management processes, including evaluating member needs, coordinating care plans, and ensuring compliance with regulatory guidelines. Proficient in engaging members through motivational interviewing and providing support for informed healthcare decision-making.

Highest-signal resume keywords

Case Management ExperienceMotivational Interviewing SkillsCollaboration With Medical ProfessionalsProficiency In Microsoft Office SuiteBachelor's Degree In Social Work

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care Management ToolsCase-Resolution ApproachesHolistic ApproachQuality-Of-Care Issue IdentificationCoaching For Healthy Lifestyle ChoicesRegulatory ComplianceTime ManagementOrganizational Skills

Soft Skills

Influencing SkillsMember Engagement

Certifications & Qualifications

Licensed RN In Arizona

Industry Keywords

Serious Mental Illness (SMI)Elderly CarePhysical DisabilityHealthcare Decision-MakingMaricopa County

About the role

Key responsibilities & impact

Evaluate referred members’ needs and eligibility using care management tools and information/data review
Recommend case-resolution approaches based on members’ benefit plans and available programs/services
Identify high-risk factors and service needs and make appropriate referrals
Coordinate and implement assigned care-plan activities and monitor progress
Use a holistic approach to overcome barriers and meet goals and objectives
Present cases at case conferences for multidisciplinary review
Identify and escalate quality-of-care issues through established channels
Negotiate appropriate options and services for members’ benefits and healthcare needs
Use influencing and motivational-interviewing skills to promote member engagement and healthy behavior changes
Provide coaching, information, and support for independent medical and healthy-lifestyle choices
Help members participate knowledgeably in healthcare decision-making with providers
Apply case-management processes in compliance with regulatory, accreditation, and company guidelines

Requirements

What you’ll need

2+ years of experience in case management
Experience working with people designated as having a serious mental illness (SMI)
Experience working with elderly people
Experience working with members with a physical disability
Must reside in Maricopa County, Arizona
Willingness to travel up to 50% of the time within Maricopa County, Arizona
Strong organizational and time management skills
Ability to collaborate with internal and external partners
Proficiency in Microsoft Office Suite, including Outlook and Word
Previous experience collaborating with medical professionals
Bachelor’s degree in Social Work, Psychology, Special Education, or Counseling, or licensed RN valid in the state of Arizona

Benefits

Comp & perks

$5000 sign-on bonus
CVS Health bonus, commission or short-term incentive program in addition to the base pay range
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being, based on eligibility