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CVS Health Case Management Coordinator - South Cook County (Country Club Hills) in Illinois

Job Description

Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.Evaluation of Members: -Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member’s needs/eligibility and recommends an approach to caseresolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services.- Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates and implements assigned care plan activities and monitors care plan progress. Enhancement of Medical Appropriateness and Quality of Care: - Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes. - Identifies and escalates quality of care issues through established channels. - Utilizes negotiation skills to secure appropriate options and services necessary tomeet the member’s benefits and/or healthcare needs. - Utilizes influencing/ motivational interviewing skills toensure maximum member engagement and promotelifestyle/behavior changes to achieve optimum level ofhealth. - Provides coaching, information and support toempower the member to make ongoing independentmedical and/or healthy lifestyle choices. - Helps member actively and knowledgeably participate with their provider in healthcare decision-making. Monitoring, Evaluation and Documentation of Care: - Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

Required Qualifications

  • 2 years experience in behavioral health, social services or appropriate related field equivalent to program focusrequired- Must be comfortable completing Field based travel to meet with Members; 50-75% Travel required in South Cook County (Country Club Hills) and surrounding areas- Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health or human services preferred

Preferred Qualifications

  • Case management and discharge planning experience preferred- Managed Care experience preferred- Microsoft Office experience preferred- Active and Unrestricted state licensure preferred (LCSW / LCPC/ LPC / LMFT / LPN / RN)

Education

Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health or human services preferred (psychology, social work, marriage and family therapy, counseling)

Business Overview

At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

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