Title Case Management Coordinator
Position Summary This role will require 50-75% travel for face-to-face visits with members in designated area comprising of Manatee county or Hillsborough county FL and surrounding areas.
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. 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.
Required Qualifications -Must be Bi-lingual, English and Spanish
-Must be located in Manatee county or Hillsborough county FL (Ruskin, Sun City, Apollo Beach, Riverview, Gibsonton Area)
- Minimum 1 year experience in MS Office Suite Applications including Microsoft Word, Excel, and Outlook required.
-Willing and able to travel 50-75% of their time to meet members face to face in Manatee county or Hillsborough county FL and surrounding areas.
COVID Requirements
COVID-19 Vaccination Requirement
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.
You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.
Preferred Qualifications -Managed Care experience
-Long Term Care experience
-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
Education -Bachelor's degree required (Degree in social work or related field preferred)
- Master's degree preferred
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.
Req ID 2216440BR
Clinical Licensure Required N/A
Job Category Aetna
Business Area Aetna
Job Type (Expected Hours Category) Full Time
Location - State/City FL - Tampa, FL - Work from home
Location code 00538
Street Address 7351 W Hillsborough Ave
City Tampa
State FL
Zip Code 33634
Country United States
FLSA Non Exempt
Requisition Template Professional
Sourcing Requisition No
No. of Positions 1
Hourly Min 19.50
Hourly Max 38.99