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.

Position Summary

This is a work from home position with 50-75% travel to meet members face to face. Candidate must live in South Cook or Will County IL particularly in zip codes 60461, 60443, 60471, 60466

Standard business hours: Monday - Friday.

This role provides comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues.

 

This includes:

-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

 

Required Qualifications

Minimum 2 years of experience in behavioral health, social services or human services field.
-Minimum 2 years of case management experience.

-Must reside in in South Cook County or Will County IL or Surrounding Areas
-Willing and able to travel using your own vehicle up to 50- 75% of the time to meet members face to face in South Cook County and surrounding areas.

-Reliable Transportation required, eligible for mileage reimbursement as per company policy.

-Valid Illinois Driver’s License

 

Preferred Qualifications

-Case management and Discharge planning experience preferred
-Managed Care experience preferred
-Microsoft Office experience preferred, specifically in Excel

Education

-Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health, social services or human services field.

Anticipated Weekly Hours

40

Time Type

Full time

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. 
 

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.

We anticipate the application window for this opening will close on: 12/07/2026

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