Full-Time

Care Management Coordinator

Posted on 1/31/2025

CVS Health

CVS Health

10,001+ employees

Comprehensive pharmacy and healthcare services

Compensation Overview

$21.10 - $36.78Hourly

+ Bonus + Commission + Short-term Incentive Program

Junior, Mid

Company Historically Provides H1B Sponsorship

Lafayette, LA, USA + 2 more

More locations: Baton Rouge, LA, USA | Lake Charles, LA, USA

Candidates must reside in Lafayette, Lake Charles, or Baton Rouge and be willing to travel 50% of the time.

Category
Healthcare Administration & Support
Medical, Clinical & Veterinary
Requirements
  • 2+ years' experience in behavioral health, social services or appropriate related field equivalent to program focus.
  • 2+ years' experience with adult and/or adolescent populations.
  • Must reside in Lafayette, Lake Charles, Baton Rouge.
  • Must have reliable transportation and be willing and able to travel 50% of the time or more.
Responsibilities
  • Conducts comprehensive evaluation of referred member’s needs/eligibility and recommends an approach to case resolution 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.
  • 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 to achieve optimal outcomes.
  • Identifies and escalates quality of care issues through established channels.
  • Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs.
  • Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/ behavior changes to achieve optimum level of health.
  • Provides coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
  • Helps member actively and knowledgably participate with their provider in healthcare decision-making.
  • Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Desired Qualifications
  • Medicaid experience.
  • Waiver experience
  • Foster care experience
  • Crisis intervention skills
  • Managed care/utilization review experience
  • Familiarity with QuickBase
  • Case management and discharge planning experience
  • Demonstrated proficiency with personal computer, keyboard navigation, and mouse
  • Familiarity and proficiency with MS Office Suite applications including MS Teams, Outlook, Word, Excel, and SharePoint.

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated approach allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.

Company Size

10,001+

Company Stage

Debt Financing

Total Funding

N/A

Headquarters

Woonsocket, Rhode Island

Founded

1963

Simplify Jobs

Simplify's Take

What believers are saying

  • Smaller-footprint stores enhance accessibility and engagement in local communities.
  • Partnership with Marqeta and Green Dot increases foot traffic and customer convenience.
  • Cloud Haircare launch attracts customers interested in vegan and clean beauty products.

What critics are saying

  • Smaller-footprint stores may limit the range of consumer products offered.
  • Closure of locations like in Lehigh Valley could affect market presence.
  • Digital personalization focus requires significant investment in technology and data security.

What makes CVS Health unique

  • CVS Health operates 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.
  • The company offers a 3-in-1 test for Influenza A, B, and COVID-19.
  • CVS Health's all-in-one app focuses on digital personalization for improved customer experience.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

Company Equity

Wellness Program

Professional Development Budget

Paid Vacation

Paid Holidays

Company News

PYMNTS
Mar 9th, 2025
Cvs Plans Chain Of Smaller-Footprint Pharmacy-Focused Stores

CVS is reportedly opening 12 smaller-footprint locations focused more on healthcare than consumer products. As The Wall Street Journal (WSJ) reported Sunday (March 9), the new stores will feature full-service pharmacies but limited retail. These stores, the report said, will be — on average — under 5,000 square feet, making them not even half the size of a typical CVS. The stores are expected to open this year around the U.S

The Morning Call
Mar 4th, 2025
CVS Pharmacy location to close in the Lehigh Valley

CVS Pharmacy location to close in the Lehigh Valley.

Investing.com
Mar 4th, 2025
Wellvana expands with CVS Health's Medicare business

In a strategic move, CVS Pharmacy introduced a new 3-in-1 test for Influenza A, Influenza B, and COVID-19, available at around 1,600 locations across 37 states, enhancing its testing and treatment capabilities.

PYMNTS
Feb 28th, 2025
Marqeta And Green Dot Partner To Facilitate Cash Deposits

Marqeta customers and their users can now make cash deposits at Green Dot’s network of more than 95,000 locations across the U.S. This capability comes from a new partnership between Marqeta, whose platform enables businesses to embed financial services into their branded experience, and Green Dot, whose network offers cash-in and cash-out services at Walmart, Walgreens, 7-Eleven, CVS and other retail locations, the companies said in a Friday (Feb. 28) press release. The partnership will facilitate Marqeta’s cash load offering, according to the release

PYMNTS
Feb 13th, 2025
Walgreens Continues Efforts To Divest Healthcare Clinic Chain Villagemd

Walgreens Boots Alliance-backed healthcare clinic chain VillageMD is reportedly working with advisers to explore a sale, restructuring or other options. This move comes after Walgreens CEO Tim Wentworth said during a January earnings call that the company plans to divest VillageMD, Bloomberg reported Wednesday (Feb. 12). A Walgreens spokesperson told Bloomberg that Walgreens “is continuing to work toward executing its stated goal of securing an endpoint for its investment in VillageMD, consistent with Walgreens’ turnaround strategy.”

INACTIVE