Case Coordinator

• Utilize critical thinking and clinical judgment to collaborate and implement the case management process
• Facilitate appropriate juvenile justice and healthcare outcomes for members through advocacy, care coordination, support and education
• Evaluate members using care management assessments and information/data review
• Recommend approaches to resolve care needs based on benefit plans and internal and external programs/services
• Identify high-risk factors and service needs and implement early, proactive support interventions
• Coordinate and implement wellness care plan activities and monitor member care needs
• 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 to meet 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 members to make independent medical and healthy lifestyle choices
• Help members participate knowledgeably with providers in healthcare decision-making
• Use case management and quality management processes in compliance with regulatory, accreditation and company guidelines
• Travel regionally in Kentucky 80–90% of the time and attend Louisville office meetings and training

Explore Juvenile Justice Case Management Coordinator at CVS Health. Review requirements and application details.