Delegated Services, Care Coordinator

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 burde...