Delegated Services, Care Coordinator(Spanish Bilingual Preferred)
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.
The Delegated Services Care Coordinator (DSCC) provides essential administrative support for the daily operations of the Delegated Care Management (CM) and Utilization Management (UM) teams. Focused on workflow optimization and service enhancement, this role serves as a key liaison between members, Care Managers, physician reviewers, and external partners. Primary responsibilities include conducting member outreach and managing service logistics—such as scheduling, referrals, correspondence, and phone triage—while facilitating community engagement. By bridging the gap between clinical and non-clinical staff, the DSCC ensures operational efficiency and strict adherence to HIPAA compliance and data integrity
Core Responsibilities:
Provide day to day operational support for both the Delegated UM and CM teams
Assisting patients with scheduling, referrals, and paperwork as needed
Support of inbound and outbound phone and fax queues
Updating patient information and making changes in electronic medical record platforms
Directly supporting the Case Managers with administrative tasks
Develop relationships with local agencies and community resource organizations
Collaborate and effectively communicate with internal departments, external partners, and vendors by supporting the UM/CM inbox’s
Efficiently navigate between multiple electronic platforms
Support ad hoc processes for improved workflow optimization and quality of care
Identify opportunities to streamline and optimize UM/CM workflows, improve efficiency and reduce administrative burden.
Other duties, as required and assigned
What are we looking for?
High School diploma or equivalent required
Preferred 2 years of experience in care management and/or utilization management, healthcare operations, or a similar role.
Excellent analytical, problem-solving, and decision-making skills.
Strong communication and interpersonal skills, with the ability to collaborate effectively across multidisciplinary teams.
Flexible and positive attitude
Proficiency in excel and Microsoft Office applications.
Proven organizational and detail-orientation skills
US work authorization
Someone who embodies being Oaky
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$17.00 - $31.30This 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.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.