Case Management Coordinator – Field

CVS Health

. Collaborate with members, providers, and community organizations to address healthcare and social determinant needs .

Posted 9/15/2026full-timeIllinois • 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 with members to promote healthcare access and outcomes.

Highest-signal resume keywords

Case Management ExperienceBehavioral Health KnowledgeEffective Communication SkillsAnalytical Problem-Solving SkillsBilingual Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Case ManagementDischarge PlanningData ReviewMotivational InterviewingBenefit Plan EvaluationHealthcare Outcome FacilitationAppointment SchedulingQuality Management ProcessesComprehensive EvaluationsMember Education

Soft Skills

Effective CommunicationOrganizational SkillsIndependent Work AbilityTeam CollaborationCoaching and Support

Tools & Technologies

Microsoft ExcelMicrosoft Word

Certifications & Qualifications

Bachelor's Degree in Behavioral Health or Human ServicesNon-Licensed Master Level Clinician

Industry Keywords

Managed CareSocial Determinants of HealthCrisis InterventionHealthcare AccessQuality of Care Issues

About the role

Key responsibilities & impact

Collaborate with members, providers, and community organizations to address healthcare and social determinant needs
Facilitate appropriate healthcare outcomes by assisting with appointment scheduling and access to benefits and member education
Conduct comprehensive evaluations of referred members’ needs and eligibility using care management tools and data review
Evaluate benefit plans and internal and external programs/services to recommend case-resolution approaches
Identify high-risk factors and service needs, referring 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 through established channels
Negotiate appropriate options and services to meet members’ benefits and healthcare needs
Use motivational interviewing to promote member engagement, lifestyle, and behavior changes
Provide coaching, information, and support for independent medical and healthy lifestyle choices
Help members participate knowledgeably in healthcare decisions with providers
Apply case management and quality management processes in compliance with regulatory, accreditation, and company requirements
Interact with members/clients telephonically or in person, including possible visits to homes, worksites, or physicians’ offices

Requirements

What you’ll need

Must reside in the state of Illinois
Must possess reliable transportation
Must be willing and able to travel 50-75% of the time in and around Winnebago, Boone and McHenry counties, IL
Computer literacy, including Excel and Microsoft Word
Effective communication, telephonic and organization skills
Excellent analytical and problem-solving skills
Ability to work independently
Ability to effectively participate in a multi-disciplinary team including internal and external participants
2 years’ experience in behavioral health, social services or an appropriate related field equivalent to program focus
Bachelor's degree or non-licensed master level clinician required, in behavioral health or human services (including nursing, psychology, social work, marriage and family therapy, or counseling)
Dedicated workspace free of interruptions
Dependents must have separate care arrangements during work hours
Case management and discharge planning experience preferred
Managed Care experience preferred
Bilingual preferred

Benefits

Comp & perks

Mileage is reimbursed per our 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, based on eligibility
CVS Health bonus, commission or short-term incentive program eligibility