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Case Manager - Field Jackson, Monroe, Randolph, Perry County at CVS Health - ApplyBlast

Case Manager - Field Jackson, Monroe, Randolph, Perry County

CVS Health

5 months ago

3.2 on Glassdoor

Illinois

Hybrid

Full Time

Junior

0 applicants

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About this role

As a Case Management Coordinator at CVS Health's Aetna team, you will elevate patient care for dual eligible Medicare and Medicaid populations by addressing complex health and social needs. You will collaborate with members, providers, and community organizations to implement care plans, identify high-risk factors, and facilitate appropriate healthcare outcomes. This role requires critical thinking, negotiation, and influencing skills to secure necessary services and promote lifestyle changes for optimal health.

Responsibilities

Evaluate member needs and eligibility using care management tools
Coordinate and implement assigned care plan activities
Collaborate with case managers and supervisors to overcome barriers
Utilize negotiation skills to secure necessary healthcare services
Monitor care plan progress and document quality of care

Skills

Qualifications

Bachelor's degree or non-licensed master level clinicianBehavioral health or human services major

About CVS Health

cvshealth.com

Headquarters

Woonsocket, Rhode Island, United States

Company Size

10001+ employees

Founded

1963

View Profile

CVS Health is America's leading health solutions company, providing integrated services across retail pharmacy (CVS Pharmacy), pharmacy benefits management (CVS Caremark), and health insurance (Aetna). The company offers pharmacy services, health plans, clinical care (including MinuteClinic), and health-and-wellness programs for consumers, employers, and government payers. By combining a large national retail footprint with claims processing, care management, and clinical services, CVS Health aims to coordinate care, lower costs, and improve health outcomes. Businesses and consumers use its solutions for medication management, plan administration, and in-person and virtual care.