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Case Management Coordinator (Work from in Northside Chicago Region))

Company: CVS Pharmacy
Location: Downers Grove
Posted on: April 4, 2021

Job Description:

Join #TeamCVS - We're Hiring! - Case Management Coordinator (Work from in Northside Chicago Region)) in Downers Grove, IL US - CVS HEALTH cvshealth.com Main menu

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    • Case Management Coordinator (Work from in Northside Chicago Region)) Case Management Coordinator (Work from in Northside Chicago Region)) Apply Now Job Title: Case Management Coordinator (Work from in Northside Chicago Region)) Job ID: 1487104BR Location: IL - Downers Grove Street Address: 3200 Highland Ave. Category: Customer Service 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 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. 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 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. 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 focus required
      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)

      Preferred Qualifications
      Case management and discharge planning experience preferred
      Managed Care experience preferred
      Microsoft Office experience preferred

      Education
      Associate's degree or equivalent experience

      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. Apply Now Chat with a Recruiter Not ready to apply? Join our talent community Similar Jobs
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      • Case Manager RN Downers Grove, IL, US We are committed to a workplace that supports diversity, inclusion and belonging. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT. Please note that we only accept applications for employment via this site. We provide reasonable accommodations to individuals with disabilities. To request an accommodation, including a qualified interpreter, written information in other formats, translation or other services, please email AdviceandCounsel@cvshealth.com or call 877-805-9511.If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or--cvshealthsupport@us.ibm.com .--For technical issues with the Virtual Job Tryout, contact the Modern Hire Help Desk at 1-877-451-1695 or--cvs_support@modernhire.com .The health and safety of our employees, patients, customers, and members is our top priority as we face the impact of COVID-19 together. We encourage you to visit our COVID-19 resource center at--https://cvshealth.com/covid-19 --to learn more.--Please be aware that CVS Health does not will never solicit money or offer payment for job applications, nor do we ask candidates to email or submit any personal information over unsecured channels. To learn more, please visit--https://jobs.cvshealth.com/FAQ . EEO IS THE LAW EEO IS THE LAW SUPPLEMENT Changing the future of health care at CVS Health It's a New Day in Health Care at CVS Health CVS Health Colleagues Represent Heart at Work About CVS HealthAt CVS Health, 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 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. Quick Links
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Keywords: CVS Pharmacy, Downers Grove , Case Management Coordinator (Work from in Northside Chicago Region)), Executive , Downers Grove, Illinois

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