Description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Care Management Coordinators (CMC) drive and support care management and care coordination activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring, and evaluating). The CMC utilizes critical thinking and judgment to collaborate and inform the care management/care coordination process in order to facilitate appropriate healthcare outcomes for assigned members. They provide care coordination, support and education for members through the use of care management tools and resources.

Position Responsibilities:

• Uses care management tools and information to complete a comprehensive evaluation of members and recommends an approach to case resolution by determining member needs in alignment with their benefit plan and available internal and external programs and services.

• Identifies high risk factors and service needs that may impact member outcomes and care planning with appropriate referral to clinical case management or crisis intervention as appropriate.

• Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve an optimum level of health.

• Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.

• Helps member actively and knowledgably participate with their provider in healthcare decision-making.

• Serves as a single point of contact for members and assists members to remediate immediate and acute gaps in care and access.

• Coordinates and implements assigned care plan activities and monitors care plan progress.

• Using a holistic approach consults with clinical care managers, leadership, medical directors and other physical/behavioral health support staff and providers to overcome barriers to meeting member goals and objectives.

• Presents cases at case conferences/rounds to obtain multidisciplinary review in order to achieve optimal outcomes.

• Works collaboratively with the members' interdisciplinary care team.

• In collaboration with the member and their care team develops and monitors established plans of care to meet the member's goals.

• Identifies and escalates quality of care issues through established channels.
• Excellent Communication/Telephonic Skills
• Excellent Motivational Interviewing Skills/ability to build rapport and trust telephonically

• Monitors, evaluates and documents care utilizing case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

• Identifies, refers, and links members to providers and social supports as needed (e.g., scheduling appointments, arranging transportation).

• Educates members about available resources and services such as Oklahoma value-added benefits and assisting the member in accessing those resources and services.

• Facilitates clinical hand offs during transitions of care.
• Ability to support members with physical and behavioral health needs

Reports to: Manager, Clinical Health Services, Care Management

Educational and Experience Requirements:

• Case management and discharge planning experience preferred

• 2 years of related professional experience includes acting as a care manager, rehabilitation specialist, health specialist, social services coordinator, or licensed behavioral health professional in the State of Oklahoma
• Ability to travel up to 50% to meet members face to face based on member needs.
• Variable work schedules with ability to work 2 days weekly until 9pm local time

Preferred Qualifications:

• Case management and discharge planning experience preferred

• Managed Care experience preferred

• Bilingual Spanish is preferred

License/Credential Requirements:

• Bachelor's degree and/or Masters Degree in health care/human services related field, social work, psychology, or a related social services field

Anticipated Weekly Hours
40

Time Type
Full time

Pay Range

The typical pay range for this role is:

$21.10 - $36.78

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.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

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.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 03/08/2026

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