at CVS Health in Springfield, Illinois, United States
Job Description
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.
Position Summary
- Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues.
- Determines medical necessity/ appropriateness
- Facilitates optimal outcomes
- Identifies and follow through with continuous quality/ compliance opportunities. May also include identification of aberrance’s and initiation of corrective action
- Educates/ empowers customers to ensure compliance, satisfaction and promote patient advocacy
- Optimize total costs Implementation and evaluation of policy based on usage and program directives
- Educate/empower colleagues at all levels to enable decision making at most appropriate level
*Willing and able to travel using your own vehicle 50-75% of their time to meet with members face to face on the Southside of Chicago. Must have reliable transportation and a valid drivers license.Required Qualifications
- Resides in the Southside of Chicago
- Willing and able to travel using your own vehicle 50-75% of their time to meet with members face to face on the southside of Chicago (need own transportation and a drivers license)
- Minimum of 2 years of experience in behavioral health or
social services field or human services.
- Must have 2+ years of experience in case managementPreferred Qualifications
- Case management and discharge planning experience
- Managed Care experience – Microsoft Office experience
- Experience working with HIV and AIDS population
- Active and Unrestricted state licensure (LCSW, LCPC, LPC, LMFT, LPN, RN)
Education
- Bachelor’s degree in social services, human services or behavioral health.
Pay Range
The typical pay range for this role is:
$21.10 – $44.99
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits
We anticipate the application window for this opening will close on: 08/15/2024
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. 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.
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