CVS Health·Rockford, Illinois
The Case Management Coordinator facilitates healthcare outcomes for members by scheduling appointments and assisting with benefit access. They collaborate with providers and community organizations to address complex health and social determinant needs.
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.
Help us elevate our patient care to a whole new level!
Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models.
You can have life-changing impact on our members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges.
With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs.
Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country.
The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources.
Through the use of care management tools and information/data review, conducts comprehensive evaluation of member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services.
Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate.
Coordinates and implements assigned care plan activities and monitors care plan progress.
Enhancement of
Medical
Appropriateness and
Quality of
Care: Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.
Identifies and escalates quality of care issues through established channels.
Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs.
Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
Engages with colleagues in ongoing team meetings and offers peer mentoring/training.
Helps member actively and knowledgably participate with their provider in healthcare decision-making.
Monitoring,
Evaluation and
Documentation of
Care: Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Anticipated Weekly Hours: 40
Time Type: Full time
$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.
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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments [https://learn.bswift.com/cvshealth-mainland].
08/21/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Requires a Bachelor's or non-licensed Master's degree in behavioral health or human services and 2 years of experience in a related field. Candidates must have reliable transportation for up to 75% travel within Winnebago County, IL.
Market context
Behavioral health positions in Illinois often draw steady interest because employers look for licensed or graduate-prepared candidates who can work in clinical, community, or care-coordination settings. This role is competitive because the required background is specific—either a master’s degree in a human services field or an active Illinois RN license, with behavioral health experience preferred. Review the AI-summarized requirements and benefits here to save research time, then confirm your licensure, degree, and setting experience before applying.