Case Management Coordinator – Field

CVS Health

. Conduct comprehensive evaluations of members’ needs and eligibility using care management tools and 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, ensuring compliance with regulatory and accreditation standards while effectively engaging members in their healthcare decisions. Proficient in conducting evaluations, coordinating care plans, and utilizing motivational interviewing techniques to promote healthy lifestyle choices.

Highest-signal resume keywords

Case ManagementBehavioral Health ExperienceElectronic DocumentationMotivational InterviewingMicrosoft 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 IdentificationCoachingIndependent Medical SupportHealthcare Decision-MakingProgram/Service EvaluationReferral Coordination

Soft Skills

Influencing SkillsMotivational SkillsPeer MentoringTeam CollaborationCommunication

Certifications & Qualifications

Bachelor's Degree in Behavioral HealthMaster's Degree in Human Services

Industry Keywords

Social ServicesHealthcareAccreditation ComplianceQuality ManagementHigh-Risk Factors

About the role

Key responsibilities & impact

Conduct comprehensive evaluations of members’ needs and eligibility using care management tools and 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 and make appropriate referrals to clinical case management or crisis intervention
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 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 guidelines

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 Southern 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)

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 in addition to the base pay range