Case Management Coordinator

CVS Health

. Coordinate, document, and communicate all aspects of the utilization/benefit management program .

Posted 10/9/2026full-timeArizona • United StatesJuniorMid-Level💰 $21 - $41 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in case management processes, including evaluating member needs, coordinating care plans, and ensuring compliance with regulatory standards. Proficient in engaging members through motivational interviewing and providing support for healthy lifestyle choices.

Highest-signal resume keywords

Case ManagementMotivational InterviewingBilingual English/SpanishMicrosoft Office SuiteExperience With Serious Mental Illness

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care Management ToolsBenefit Plan EvaluationHigh-Risk Factor IdentificationQuality-of-Care Issue EscalationHolistic Approach

Soft Skills

Organizational SkillsTime ManagementCollaboration

Certifications & Qualifications

Bachelor’s DegreeLicensed RN

Industry Keywords

Utilization ManagementHealthcare Decision-MakingElderly CarePhysical DisabilityRegulatory Compliance

About the role

Key responsibilities & impact

Coordinate, document, and communicate all aspects of the utilization/benefit management program
Evaluate referred members’ needs and eligibility using care management tools and data review
Recommend case-resolution approaches by evaluating benefit plans and available programs and 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
Present cases at case conferences for multidisciplinary review
Identify and escalate quality-of-care issues
Negotiate appropriate options and services for members’ benefits and healthcare needs
Use influencing and motivational interviewing skills to engage members and promote healthy behavior changes
Provide coaching, information, and support to empower 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 requirements

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
Must reside in West Valley, Arizona
Ability to travel up to 50% of the time within West Valley, Arizona
Bachelor’s degree or licensed RN (Registered Nurse), valid in the state of Arizona
Previous experience working with members with a physical disability preferred
Strong organizational and time management skills preferred
Ability to collaborate with internal and external partners preferred
Demonstrated proficiency in Microsoft Office Suite, including Outlook and Word preferred
Previous experience collaborating with medical professionals preferred
Bilingual English/Spanish preferred

Benefits

Comp & perks

$5,000 sign-on bonus
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being
CVS Health bonus, commission or short-term incentive program