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. **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 60477, 60487, 60449, 60423, or 60443. 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** -Discharge planning experience preferred -Managed Care experience preferred -Microsoft Office experience preferred, specifically in Excel **Education** -Bachelor's degree or Master level , with either degree being in behavioral health or human services required (psychology, social work, marriage and family therapy, counseling) **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 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: 10/09/2025 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.