Experienced Care Management Coordinator for CVS Health - Remote Opportunity with Competitive Salary

Transforming Healthcare through Compassionate Care Management At CVS Health, we're driven by a singular purpose: to bring our heart to every moment of your health. Our mission is to deliver enhanced, human-driven healthcare that's more personal, convenient, and affordable. As a Care Management Coordinator, you'll play a vital role in achieving this goal by ensuring the effective operation of care management and care coordination activities across the continuum of care. About the Role This is a full-time, field-based telecommuter opportunity in Oklahoma, offering a competitive salary of $26-$35 per hour. As a Care Management Coordinator, you'll be responsible for assessing, planning, implementing, coordinating, monitoring, and evaluating the care management and care coordination process to facilitate appropriate healthcare outcomes for individuals. Key Responsibilities Utilize care management tools and data to conduct comprehensive assessments of referred members' needs/eligibility and recommend a course of action to address needs. Identify high-risk factors and service needs that may impact member outcomes and care planning. Coordinate and execute assigned care plan activities, monitoring progress and collaborating with interdisciplinary care teams. Present cases at case conferences to obtain multidisciplinary reviews and achieve optimal outcomes. Work cooperatively with members' healthcare providers, leveraging negotiation and influencing skills to secure necessary services and support. Provide education, information, and support to empower members to make informed healthcare decisions. Serve as a single point of contact for members, addressing immediate and acute gaps in care and access. Monitor, evaluate, and document care using case management and quality management processes, adhering to regulatory and licensure rules and company policies. Essential Qualifications Reside in Oklahoma, within the specified regions. 2+ years of related professional experience as a care manager, recovery-trained professional, health subject matter expert, or social service facilitator. Completion of the Behavioral Health Caseworker certification training within 6 months of hire date. 2+ years of experience using PC, keyboard navigation, and MS Office Suite applications. Reliable transportation and willingness to travel in-state up to 30% of the time, with mileage reimbursement per company policy. Ability to provide on-call coverage for CM inclusion on a rotational schedule as required by the State regulatory agency. At least a Bachelor's degree in social work, psychology, or a related social service field. Preferred Qualifications Case management and discharge planning experience. Managed Care experience. Experience working with Native American/American Indian/Alaskan Native populations. What We Offer At CVS Health, we're committed to fostering a culture that supports your growth and well-being. As a Care Management Coordinator, you'll enjoy a competitive salary, opportunities for professional development, and a dynamic work environment that values diversity and inclusion. Our company culture is built on a foundation of compassion, innovation, and collaboration. We're dedicated to delivering exceptional healthcare services that make a meaningful difference in the lives of our members. By joining our team, you'll become part of a community that shares our passion for improving healthcare outcomes and enhancing the overall well-being of our members. Career Growth and Development As a Care Management Coordinator, you'll have opportunities to develop your skills and expertise in care management, case coordination, and healthcare navigation. Our comprehensive training programs and ongoing support will help you stay up-to-date on industry best practices and regulatory requirements. We're committed to helping you achieve your career goals, whether that's advancing to a leadership role or expanding your expertise in a specific area. Our talent development programs and mentorship opportunities will help you grow professionally and personally. Work Environment As a remote worker, you'll enjoy the flexibility and autonomy to work from home, while still being connected to our team and culture. We're committed to providing the tools, resources, and support you need to succeed in a remote work environment. Compensation and Benefits We offer a competitive salary and benefits package that reflects our commitment to attracting and retaining top talent. Our benefits include medical, dental, and vision coverage, as well as opportunities for professional development and career growth. Join Our Team If you're passionate about delivering compassionate care management and making a meaningful difference in the lives of our members, we encourage you to apply for this exciting opportunity. Don't worry if you don't meet every single requirement – we value a great attitude and a willingness to learn above all. Submit your application today and take the first step towards a rewarding career with CVS Health! Apply for this job