Case Management Coordinator - Remote | Wfh

This is an exciting opportunity to join a dynamic team as a Case Manager Coordinator in a telework role! We are looking for someone located in or near Tampa, FL who can work remotely with the potential for minimal local travel. The schedule is Monday-Friday during standard business hours, 8:00am-5:00pm EST.
As a Case Manager Coordinator, you will be responsible for telephonically assessing, planning, implementing, and coordinating all case management activities with members to evaluate their medical needs and facilitate their overall wellness. You will develop proactive courses of action to address issues presented and enhance short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration. Services, strategies, policies, and programs are comprised of network management and clinical coverage policies.
Using clinical tools and information/data review, you will conduct an evaluation of the member's needs and benefit plan eligibility, and facilitate integrative functions, as well as a smooth transition to our programs and plans. You will apply clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address health and social indicators that impact care planning and resolution of member issues.
Your assessments will take into account information from various sources to address all conditions, including co-morbid and multiple diagnoses that impact functionality. You will also review prior claims to address potential impacts on current case management and eligibility. Your assessments will include the member’s level of work capacity and related restrictions/limitations. You will use a holistic approach to assess the need for a referral to clinical resources for assistance in determining functionality.
You will consult with your supervisor and others to overcome barriers in meeting goals and objectives and present cases at case conferences for multidisciplinary focus to benefit overall claim management. You will utilize case management processes in compliance with regulatory and company policies and procedures. Additionally, you will use motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.
We offer a competitive pay range for this role, with a minimum of $19.50 and a maximum of $40.10 per hour. Please note that the actual base salary offer will depend on a variety of factors including experience, education, geography, and other relevant factors. This position is also eligible for a CVS Health bonus, commission, or short-term incentive program in addition to the base pay range listed above.
In addition to compensation, we offer a wide range of benefits to our employees, including full medical, dental, and vision benefits. Eligible employees may enroll in our 401(k) retirement savings plan, and we offer an Employee Stock Purchase Plan. We provide a fully-paid term life insurance plan to eligible employees and offer short-term and long-term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.
Our Company cares deeply about our colleagues and communities, and we encourage a healthy work-life balance. Our employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. The number of paid holidays, sick time, and other time off are provided consistently with relevant state law and company policies.
We look forward to receiving your application and are excited to welcome you to our team!
Employment Type: Full-Time
Salary: $ 19.00 40.00 Per Hour