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Form of workPosition Summary
This is telework position with 50-75% travel requirement to meet members face to face.
-Strongly prefers qualified candidate to be located in Northwest suburbs of IL ( Example - Elk Grove Village, Schaumburg, Arlington Heights, Rolling Meadows, Des Plaines, Mount Prospect etc).
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.
Education
Bachelor's degree or non-licensed master level clinician
required, with either degree being in behavioral health or
human services required (psychology, social work,
marriage and family therapy, counseling)
Required Qualifications
- Minimum 2 years of experience in behavioral health, social services or human services field.
-Minimum 2 years of case Management experience.
-Willing and able to travel 50-75% of the time to meet members face to face in Northwest suburbs of Chicago and surrounding areas.
Business Overview
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. 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.
Job Posting Pay Equity Language Part 1
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
Job Posting Pay Equity Language Part 2
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and 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. As for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit
jobs.CVSHealth.com/benefits
This is telework position with 50-75% travel requirement to meet members face to face.
-Strongly prefers qualified candidate to be located in Northwest suburbs of IL ( Example - Elk Grove Village, Schaumburg, Arlington Heights, Rolling Meadows, Des Plaines, Mount Prospect etc).
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.
Education
Bachelor's degree or non-licensed master level clinician
required, with either degree being in behavioral health or
human services required (psychology, social work,
marriage and family therapy, counseling)
Required Qualifications
- Minimum 2 years of experience in behavioral health, social services or human services field.
-Minimum 2 years of case Management experience.
-Willing and able to travel 50-75% of the time to meet members face to face in Northwest suburbs of Chicago and surrounding areas.
Business Overview
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. 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.
Job Posting Pay Equity Language Part 1
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
Job Posting Pay Equity Language Part 2
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and 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. As for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit
jobs.CVSHealth.com/benefits
