Case Management Coordinator – Field

CVS Health

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

Posted 10/5/2026full-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, with a strong focus on behavioral health and social services. Proficient in engaging members through motivational interviewing and providing support for healthcare decision-making.

Highest-signal resume keywords

Case ManagementBehavioral Health ExperienceMotivational InterviewingElectronic DocumentationMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care Management ToolsData ReviewBenefit Plan EvaluationCrisis InterventionQuality-of-Care Issue IdentificationCoachingHealthcare Decision-Making SupportProgram CoordinationMonitoring ProgressPeer Mentoring

Soft Skills

Influencing SkillsTeam CollaborationCommunication Skills

Certifications & Qualifications

Bachelor's Degree in Behavioral HealthMaster's Level Clinician (Non-Licensed)

Industry Keywords

Social ServicesHealthcareAccreditation ComplianceHigh-Risk FactorsLifestyle Changes

About the role

Key responsibilities & impact

Evaluate members’ needs and eligibility using care management tools and information/data review
Recommend approaches to case resolution and meeting member needs by evaluating benefit plans and available programs/services
Identify high-risk factors and service needs, referring members to clinical case management or crisis intervention when 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 engage members and promote lifestyle/behavior changes
Provide coaching, information and support for independent medical and healthy lifestyle choices
Engage in team meetings and provide peer mentoring/training
Help members participate knowledgeably in healthcare decision-making
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, Social Services or appropriate related field equivalent to program focus
Must be willing and able to travel 50-75% of the time in and around Chicago, Illinois
Reliable transportation required
2+ years of electronic documentation experience
Experience with Microsoft Office applications
Bachelor's degree or non-licensed master level clinician required, with either degree in Behavioral Health or Human Services (Psychology, Social Work, Marriage and Family Therapy, Counseling)
Standard business hours Monday-Friday, 8:00am-5:00pm CST

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 colleagues’ physical, emotional, and financial well-being
CVS Health bonus, commission or short-term incentive program eligibility