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 40 Time Type Full time Pay Range The typical pay range for this role is: $17.00 - $31.30 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: 04/23/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local Apply tot his job Apply To this Job