Case Management Coordinator – Field

CVS Health

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

Posted 10/1/2026full-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 behavioral health, with a strong focus on member engagement, care plan implementation, and compliance with regulatory standards. Proficient in using motivational interviewing techniques and electronic documentation to support members in achieving their healthcare goals.

Highest-signal resume keywords

Case ManagementBehavioral Health ExperienceMotivational InterviewingElectronic DocumentationManaged Care Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care Management ToolsBenefit Plan EvaluationCrisis InterventionQuality Management ProcessesDischarge PlanningData ReviewCoachingLifestyle Change PromotionPeer MentoringRegulatory Compliance

Soft Skills

Influencing SkillsTeam CollaborationCommunication SkillsProblem-SolvingEmpathy

Tools & Technologies

Microsoft Office Applications

Certifications & Qualifications

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

Industry Keywords

Social ServicesHealthcare Decision-MakingHigh-Risk FactorsMember Needs AssessmentQuality of Care Issues

About the role

Key responsibilities & impact

Conduct comprehensive evaluations of 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 and refer members 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 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 to empower independent medical and healthy lifestyle choices
Engage in team meetings and provide peer mentoring/training
Help members participate knowledgeably with providers 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
Willingness and ability to travel 50-75% of the time in Lake, McHenry, and Northern Cook Counties 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, in Behavioral Health or Human Services (Psychology, Social Work, Marriage and Family Therapy, Counseling)
Case management and discharge planning experience preferred
Managed Care experience 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