Case Management Coordinator - Field Two Rivers Region - Remote with Regional Travel

Bringing Your Heart to CVS Health: Join Our Team as a Case Management Coordinator At CVS Health, our purpose is clear: to bring our heart to every moment of your health. We're committed to delivering enhanced human-centric health care that's personal, convenient, and affordable. As a leader in the health care industry, we're transforming our culture to accelerate innovation and deliver solutions that make a real difference in people's lives. About the Role: Case Management Coordinator - Field Two Rivers Region We're seeking a dedicated and compassionate Case Management Coordinator to join our Aetna Better Health team in the Two Rivers Region of Kentucky. As a Case Management Coordinator, you'll play a vital role in supporting the case management process, improving healthcare outcomes for our members, and providing advocacy, collaboration, coordination, support, and education through the use of care management tools and resources. Key Responsibilities: Evaluating Member Needs: Utilize care management assessments and data review to recommend approaches to resolving care needs, maintaining optimal health and well-being, and evaluating member benefit plans and available internal and external programs/services. Identifying High-Risk Factors: Identify high-risk factors and service needs that may impact member outcomes and implement early and proactive support interventions. Coordinating Care: Coordinate and implement Wellness care plan activities, monitor member care needs, and consult with case managers, supervisors, Medical Directors, and other health programs to overcome barriers to meeting goals and objectives. Enhancing Medical Appropriateness and Quality of Care: Utilize negotiation skills to secure appropriate options and services necessary to meet member benefits and/or healthcare needs, and identify and escalate quality of care issues through established channels. Empowering Members: Provide coaching, information, and support to empower members to make ongoing independent medical and/or healthy lifestyle choices, and help members actively and knowledgeably participate with their providers in healthcare decision-making. Monitoring and Evaluating Care: Utilize case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. Essential Qualifications: Experience: Minimum 6 months of experience in Foster Care and juvenile justice systems, Adoption Assistance, the delivery of Behavioral Health Services, Trauma-informed Care, ACEs, Crisis Intervention services, or evidence-based practices applicable to the Kentucky SKY populations. Professional Background: Minimum 3 years of experience in behavioral health, social services, social work, psychology, sociology, marriage and family therapy, or counseling. Technical Skills: Minimum 1 year of experience in MS Office Suite applications, including Word and Excel. Travel Requirements: Willing and able to travel 80-90% of the time to meet members face-to-face in the assigned region. Residency Requirement: Must reside in or adjacent to the Two Rivers Region (Allen, Barren, Butler, Daviess, Edmonson, Hancock, Hart, Henderson, Logan, McLean, Metcalfe, Monroe, Simpson, Union, Warren, Webster, Ohio). Preferred Qualifications: Certification: Certified Social Worker (CSW). Experience: Experience working with foster care and juvenile justice populations. Education: Bachelor's degree or a non-licensed master's level clinician in behavioral health or human services field. What We Offer: At CVS Health, we offer a comprehensive benefits package that includes: Competitive Compensation: A competitive salary range of $21.10 - $36.78 per hour, depending on experience, education, and geography. Bonus and Incentive Programs: Eligible for CVS Health bonus, commission, or short-term incentive programs. Medical, Dental, and Vision Benefits: A full range of medical, dental, and vision benefits. Retirement Savings: Eligible to enroll in the Company's 401(k) retirement savings plan and Employee Stock Purchase Plan. Life Insurance and Disability Benefits: Fully-paid term life insurance plan and short-term and long-term disability benefits. Well-being Programs: Numerous well-being programs, education assistance, free development courses, and a CVS store discount. Paid Time Off: Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. Career Growth and Development: At CVS Health, we're committed to helping our colleagues grow and develop in their careers. As a Case Management Coordinator, you'll have opportunities to: Develop Your Skills: Enhance your skills in case management, care coordination, and member advocacy. Advance Your Career: Take on new challenges and advance your career within the organization. Make a Difference: Make a real difference in the lives of our members and contribute to the success of our organization. Our Culture: At CVS Health, we're committed to creating a culture that's inclusive, diverse, and supportive. We value: Heart At Work Behaviors: Our Heart At Work Behaviors guide our commitment to delivering exceptional service and care to our members. Diversity and Inclusion: We celebrate our differences and strive to create an inclusive environment where everyone feels valued and respected. Colleague Well-being: We prioritize the well-being of our colleagues and provide resources and support to help them thrive. Ready to Join Our Team? If you're a compassionate and dedicated professional looking to make a difference in the lives of others, we want to hear from you. Apply now to join our team as a Case Management Coordinator - Field Two Rivers Region! The application window for this opening is expected to close on November 13, 2024. We encourage you to apply as soon as possible to be considered for this exciting opportunity. CVS Health is an equal opportunity employer and welcomes applications from diverse candidates. We consider qualified applicants with arrest or conviction records in accordance with all federal, state, and local laws. Apply for this job