Field Case Management Coordinator

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

Posted 10/7/2026full-timeKankakee • Illinois • United StatesJuniorMid-Level💰 $21 - $45 per hourWebsite

Key responsibilities & impact

Conduct comprehensive evaluations of member 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 appropriately 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 and optimal outcomes
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 in healthcare decision-making with providers
Use case management and quality management processes in compliance with regulatory, accreditation and company requirements
Provide appointment scheduling assistance and help members access benefits and education

What you’ll need

2 years experience in behavioral health, social services or appropriate related field equivalent to program focus
Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually
Ability to travel within a designated geographic area for in-person case management activities as directed by Leadership and/or as business needs arise
Excellent analytical and problem-solving skills
Effective communications, organizational, and interpersonal skills
Ability to work independently
Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications
Efficient and Effective computer skills including navigating multiple systems and keyboarding
Bachelor's degree or non-licensed master level clinician required, with either degree being 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

Comp & perks

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