Full-Time

Care Management Coordinator

Confirmed live in the last 24 hours

CVS Health

CVS Health

10,001+ employees

Comprehensive pharmacy and healthcare services

Healthcare
Consumer Goods

Compensation Overview

$21.1 - $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

You match the following CVS Health's candidate preferences

Employers are more likely to interview you if you match these preferences:

Degree
Experience
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, beauty items, and general merchandise. CVS Health also functions as a pharmacy benefits manager, serving over 75 million plan members, and has a senior pharmacy care business that assists more than one million patients each year. This integrated model allows CVS Health to deliver affordable health management solutions, improving access to quality care and health outcomes while aiming to reduce overall healthcare costs. Unlike many competitors, CVS Health combines retail pharmacy services with clinical care, making it a significant player in the healthcare sector with a commitment to enhancing the health of individuals and communities.

Company Stage

Debt Financing

Total Funding

N/A

Headquarters

Woonsocket, Rhode Island

Founded

1963

Simplify Jobs

Simplify's Take

What believers are saying

  • Telehealth expansion offers CVS Health growth opportunities in virtual care services.
  • AI in pharmacy operations can improve CVS Health's efficiency and customer satisfaction.
  • Health and wellness apps provide CVS Health avenues to engage customers and improve outcomes.

What critics are saying

  • DOJ legal challenges over opioid prescriptions could harm CVS Health's reputation and finances.
  • Supply chain vulnerabilities, highlighted by the Horizon Milk recall, may impact consumer trust.
  • Competition from retailers like Walmart and Amazon could affect CVS's market share in CRC tests.

What makes CVS Health unique

  • CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.
  • The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.
  • CVS Health offers a wide range of health products, enhancing accessibility and affordability.

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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