Delegated Services, Care Coordinator(Spanish Bilingual Preferred)

CVS Health

1d • $17 - $31

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. The Delegated Services Care Coordinator (DSCC) provides essential administrative support for the daily operations of the Delegated Care Management (CM) and Utilization Management (UM) teams. Focused on workflow optimization and service enhancement, this role serves as a key liaison between members, Care Managers, physician reviewers, and external partners. Primary responsibilities include conducting member outreach and managing service logistics—such as scheduling, referrals, correspondence, and phone triage—while facilitating community engagement. By bridging the gap between clinical and non-clinical staff, the DSCC ensures operational efficiency and strict adherence to HIPAA compliance and data integrity

Requirements

• High School diploma or equivalent required
• Excellent analytical, problem-solving, and decision-making skills.
• Strong communication and interpersonal skills, with the ability to collaborate effectively across multidisciplinary teams.
• Flexible and positive attitude
• Proficiency in excel and Microsoft Office applications.
• Proven organizational and detail-orientation skills
• US work authorization

Nice To Haves

• Preferred 2 years of experience in care management and/or utilization management, healthcare operations, or a similar role.
• Someone who embodies being Oaky

Responsibilities

• Provide day to day operational support for both the Delegated UM and CM teams
• Assisting patients with scheduling, referrals, and paperwork as needed
• Support of inbound and outbound phone and fax queues
• Updating patient information and making changes in electronic medical record platforms
• Directly supporting the Case Managers with administrative tasks
• Develop relationships with local agencies and community resource organizations
• Collaborate and effectively communicate with internal departments, external partners, and vendors by supporting the UM/CM inbox’s
• Efficiently navigate between multiple electronic platforms
• Support ad hoc processes for improved workflow optimization and quality of care
• Identify opportunities to streamline and optimize UM/CM workflows, improve efficiency and reduce administrative burden.
• Other duties, as required and assigned

Benefits

• This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families.
• The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
• Additional details about available benefits are provided during the application process and on Benefits Moments.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees