CVS Health · 5 days ago
Care Management Coordinator
CVS Health is focused on building a world of health around every individual, aiming to provide a more connected and compassionate health experience. The Care Management Coordinator will collaborate with healthcare providers and community organizations to meet the complex healthcare needs of dual eligible populations, ensuring effective care coordination and member engagement.
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Responsibilities
Conduct the annual Health Risk Survey to support needs identification for the member’s Individual Plan of Care
Inform the assigned care manager of newly identified health/safety risks or service needs
Complete care coordination activities delegated by the care manager within an established timeframe
Inform the assigned care manager and/or associate manager of any identified quality of care issues
Passionately support the member’s care coordination needs and drive solutions to address those needs
Use problem-solving skills to find alternative contact information for members who are unreachable by care management
Employ motivational interviewing techniques to maximize member engagement and promote lifestyle changes for optimal health
Adhere to case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies
Meet performance and productivity metrics, including call volume, successful member engagement, and compliance with state/federal regulatory requirements
Conduct oneself with integrity, professionalism, and self-direction
Demonstrate a willingness to learn about care management within Medicare and Medicaid managed care
Familiarity with community resources and services
Navigate various healthcare technology tools to enhance member care, streamline workflows, and maintain accurate records
Maintain strong collaborative and professional relationships with members and colleagues
Communicate effectively, both verbally and in writing
Exhibit excellent customer service and engagement skills
Qualification
Required
2+ years in behavioral health, social services, or a related field relevant to the program focus
Proficient in Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams) and capable of utilizing these tools effectively in the CM Coordinator role
Access to a private, dedicated workspace to fulfill job requirements effectively
Candidate must reside in EST state
High School Diploma with equivalent experience
Preferred
Case Management and Discharge Planning Experience
Managed Care Experience
Associate's or Bachelor's Degree or non-licensed master's level clinician in behavioral health or human services (psychology, social work, marriage and family therapy, counseling) or equivalent experience
Benefits
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings
Tobacco cessation and weight management programs
Confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access
Many other benefits depending on eligibility
Company
CVS Health
CVS Health is a health solutions company that provides an integrated healthcare services to its members.
Funding
Current Stage
Public CompanyTotal Funding
$4BKey Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity
Leadership Team
Recent News
2026-01-25
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