Case Management Coordinator - Field - Henry or Bureau County IL

Case Management Coordinator - Field - Henry or Bureau County IL or Surrounding Areas

Join to apply for the Case Management Coordinator - Field - Henry or Bureau County IL or Surrounding Areas role at CVS Health.

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose‑driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate.

And we do it all with heart, each and every day.

This Case Management Coordinator position is with Aetna’s Long‑Term Services and Supports (LTSS) team and is a field‑based position out of the Henry and Bureau County, IL. The role requires traveling 50–75% of the time to meet with members face‑to‑face.

• Conduct comprehensive evaluation of referred member’s needs/eligibility and recommend an approach to case resolution by reviewing member’s benefit plan and available internal and external programs/services, while identifying high risk factors and service needs that may impact member outcomes.
• Coordinate and implement assigned care plan activities and monitor care plan progress.
• Consult with case managers, supervisors, medical directors and other health programs to overcome barriers; present cases at case conferences for multidisciplinary review to achieve optimal outcomes.
• Identify and escalating quality of care issues through established channels.
• Utilize negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs.
• Apply influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
• Provide coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
• Help member actively and knowledgeably participate with their provider in healthcare decision‑making.
• Utilize case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

• Must reside in Henry or Bureau County of Illinois or surrounding areas.
• Must possess reliable transportation and be willing and able to travel up to 50–75% of the time to meet members face‑to‑face. Mileage is reimbursed per the company expense reimbursement policy.
• Minimum 2 years of experience in behavioral health, social services or human services field.
• Minimum 2 years of case management experience.

• Discharge planning experience.
• Managed care experience.
• Microsoft Office experience.

• Bachelor’s Degree or non‑licensed master level clinician is required, with either degree being in behavioral health or human services (psychology, social work, marriage and family therapy, counseling).

40

Full time

$21.10 – $44.99

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No‑cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

We anticipate the application window for this opening will close on: 01/19/2026.