About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. This position offers a $5,000 New Hire Bonus! Candidates must be located in Miami Dade county. This role will require 50-75% travel for face-to-face visits with members in Miami Dade. Schedule is Monday-Friday, 8:00am-5:00pm, standard business hours. We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our Case Management team. This opportunity offers a competitive salary and full benefits. Our organization promotes autonomy through a Monday Friday working schedule, paid holidays, and flexibility as you coordinate the care of your members.

Requirements

  • Bi-lingual, English, and Spanish.
  • Must reside in or near zip code 33815.
  • Willing and able to travel 50-75% of their time to meet members face to face in Miami Dade county and surrounding areas in FL.
  • Computer proficiency in Microsoft Word, Excel, and Outlook required.
  • 1 + year of experience in behavioral health or a long-term care setting.

Nice To Haves

  • Strongly prefers Field Case management and discharge planning experience.
  • Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment.
  • Effective communication skills, both verbal and written.
  • Managed Care experience.

Responsibilities

  • Case Management Coordinator is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness.
  • Case Management Coordinator will effectively manage a caseload that includes supportive and medically complex members.
  • Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration.
  • Case Management Coordinators will determine appropriate services and supports due to member's health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports.

Benefits

  • medical
  • dental
  • vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
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