Case Management Coordinator – Transition of Care Team

Job Description:

  • Evaluate referred members' needs and eligibility using care management tools and data review
  • Recommend approaches to case resolution and meeting members' needs
  • Identify high-risk factors and service needs affecting outcomes and care planning
  • Refer members to clinical case management or crisis intervention when appropriate
  • Coordinate and implement assigned care plan activities
  • Monitor care plan progress
  • Consult with case managers, supervisors, Medical Directors, and other health programs to overcome barriers
  • Present cases at multidisciplinary case conferences
  • Identify and escalate quality-of-care issues
  • Negotiate appropriate options and services for members' benefit and healthcare needs
  • Use influencing and motivational interviewing skills to engage members and promote lifestyle or behavior changes
  • Provide coaching, information, and support for independent medical and healthy lifestyle choices
  • Help members participate knowledgeably in healthcare decision-making with providers
  • Apply case management and quality management processes in compliance with regulatory, accreditation, and company guidelines
  • Schedule appointments and assist members with accessing benefits, education, and services

Requirements:

  • 2+ years of experience in behavioral health or social services
  • Ability to work 8:00 AM–5:00 PM in the assigned market time zone
  • 2+ years of experience with Microsoft Office Applications (Word, Excel, Outlook)
  • Dedicated workspace free of interruptions
  • Separate care arrangements for dependents during work hours
  • Case management and discharge planning experience preferred
  • Managed care experience preferred
  • Bachelor's Degree or non-licensed master level clinician degree in behavioral health or human services, or equivalent experience (REQUIRED)
  • Ability to obtain a direct/hardwired internet connection to a modem/router within 7 feet of the computer
  • Minimum internet speed of 25 Mbps download and 3 Mbps upload
  • WiFi and satellite internet are not permitted
  • Quiet, secure, private designated home workspace compliant with CVS Health and HIPAA guidelines
  • Ability to work within the state and city where currently residing
  • Ability to set up and use multiple monitors and navigate multiple applications
  • Ability to communicate via email, calendar invites, Teams messaging, and virtual meetings
  • Experience with Microsoft Office 365 applications or similar Google Workspace tools
  • Ability to log in to secure systems such as VPN and EHR portals
  • Ability to manage strong passwords and recognize suspicious emails or links
  • Ability to resolve common technical issues independently
  • Openness to learning new skills as the workplace environment evolves

Benefits:

  • CVS Health bonus, commission or short-term incentive program in addition to base pay
  • Medical coverage
  • Dental coverage
  • Vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
  • Other resources supporting physical, emotional, and financial well-being
  • Company-provided equipment (keyboard, monitor, computer, headset, etc.)
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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

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