Case Management Coordinator – Field

CVS Health

. Conduct comprehensive evaluations of members’ needs and eligibility using care management tools and data review .

Posted 11/3/2026full-timeRemote • Illinois • United StatesJuniorMid-Level💰 $21 - $45 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management and quality management processes, ensuring compliance with regulatory and accreditation standards while effectively engaging members in their healthcare decisions. Proficient in using care management tools to evaluate needs and coordinate care plans.

Highest-signal resume keywords

Case ManagementBehavioral Health ExperienceMotivational InterviewingMicrosoft Office SuiteBachelor's Degree in Behavioral Health

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care Management ToolsData ReviewBenefit Plan EvaluationCrisis InterventionQuality Management ProcessesHealthcare Decision-MakingIndependent Medical ChoicesReferral CoordinationMonitoring ProgressNegotiation Skills

Soft Skills

Influencing SkillsMotivational SkillsPeer MentoringTeam CollaborationCommunication Skills

Industry Keywords

Social ServicesHealthcare NeedsHigh-Risk FactorsMultidisciplinary ReviewAccreditation ComplianceTravel RequirementsMember EngagementHealthy Lifestyle ChoicesQuality-of-Care IssuesBehavioral Health

About the role

Key responsibilities & impact

Conduct comprehensive evaluations of members’ needs and eligibility using care management tools and data review
Recommend case resolution approaches and evaluate benefit plans and available programs/services
Identify high-risk factors and service needs, with referral to clinical case management or crisis intervention as appropriate
Coordinate and implement assigned care plan activities and monitor progress
Consult with case managers, supervisors, Medical Directors, and other health programs to overcome barriers
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 promote member engagement and healthy behavior changes
Coach, inform, and support members in making independent medical and healthy lifestyle choices
Engage in team meetings and provide peer mentoring/training
Help members participate knowledgeably in healthcare decision-making with providers
Apply case management and quality management processes in compliance with regulatory, accreditation, and company requirements

Requirements

What you’ll need

2 years+ experience in behavioral health or social services
Willing and able to travel 50–75% in Franklin, Williamson, Union, Johnson, Massac, Alexander, Pulaski and surrounding counties
Reliable transportation required
1+ year(s) of experience with Microsoft Office Suite applications (MS Word, Excel, Outlook and PowerPoint)
Bachelor's degree or non-licensed master level clinician required, with either degree in behavioral health or human services such as psychology, social work, marriage and family therapy, or counseling

Benefits

Comp & perks

Mileage reimbursed per company expense reimbursement policy
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 eligibility