CVS Health - Miami, FL

posted 6 days ago

Full-time - Entry Level
Miami, FL
Health and Personal Care Retailers

About the position

The Case Management Coordinator at CVS Health is responsible for assessing, planning, implementing, and coordinating case management activities to evaluate and enhance the medical needs and overall wellness of members. This role requires a self-motivated and detail-oriented individual who can manage a caseload of supportive and medically complex members, ensuring effective communication and coordination of care. The position involves significant travel within Miami Dade county for face-to-face member interactions, promoting a human-centric approach to health care delivery.

Responsibilities

  • Telephonically and/or face-to-face assess members' medical needs.
  • Plan and implement case management activities to facilitate overall wellness.
  • Manage a caseload that includes supportive and medically complex members.
  • Develop proactive courses of action to address member issues and enhance outcomes.
  • Determine appropriate services and supports based on members' health needs, including prior authorizations and coordination with providers.
  • Provide condition management information and medication reviews.
  • Connect members with community resources and supports.

Requirements

  • Bilingual in English and Spanish.
  • 1+ year of experience in behavioral health or a long-term care setting.
  • Ability to multitask and prioritize in a fast-paced environment.
  • Effective verbal and written communication skills.
  • Computer proficiency in Microsoft Word, Excel, and Outlook.
  • Experience in case management and discharge planning.

Nice-to-haves

  • Managed Care experience.

Benefits

  • Medical, dental, and vision benefits.
  • 401(k) retirement savings plan.
  • Employee Stock Purchase Plan.
  • Fully-paid term life insurance plan.
  • Short-term and long-term disability benefits.
  • Well-being programs and education assistance.
  • Free development courses.
  • CVS store discount and discount programs with partners.
  • Paid Time Off (PTO) and paid holidays.
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service