Case Management Coordinator – Field, Winnebago, Boone and Jo Daviess Counties

CVS Health

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

Posted 10/14/2026full-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 positive lifestyle changes.

Highest-signal resume keywords

Case Management ExperienceBehavioral Health ExpertiseElectronic Documentation ProficiencyMicrosoft Office ApplicationsManaged Care Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care Management ToolsData ReviewBenefit Plan EvaluationCrisis InterventionQuality Management ProcessesDischarge PlanningMotivational InterviewingCoachingPeer MentoringHealthcare Decision-Making

Soft Skills

Influencing SkillsTeam CollaborationCommunication SkillsProblem-SolvingEmpowerment

Certifications & Qualifications

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

Industry Keywords

Social ServicesHigh-Risk FactorsQuality-of-Care IssuesAccreditation ComplianceTravel Requirements

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 and services
Identify high-risk factors and service needs, referring to clinical case management or crisis intervention when appropriate
Coordinate and implement assigned care plan activities and monitor care plan progress
Consult with case managers, supervisors, Medical Directors and other health programs to overcome barriers and achieve goals
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 influencing and motivational interviewing skills to engage members and promote lifestyle and behavior changes
Provide coaching, information and support to empower members in medical and healthy lifestyle decisions
Engage in team meetings and provide peer mentoring and 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 of experience in Behavioral Health, Social Services or an appropriate related field equivalent to program focus
Willingness and ability to travel 50-75% of the time in Winnebago, Boone, Stephenson, Ogle and Jo Daviess 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, including Psychology, Social Work, Marriage and Family Therapy, or Counseling
Case management and discharge planning experience preferred
Managed Care experience preferred

Benefits

Comp & perks

Mileage is reimbursed per company expense reimbursement policy
CVS Health bonus, commission or short-term incentive program in addition to base pay
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