UNKNOWN

ADAPTED_NOW

By providing these services, CHW's help Aetna members attain and maintain better health outcomes, improve relationships with healthcare providers and help both parties become more acculturated with each other. 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.

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 SummaryScheduled hours: M-F from 8:00am to 5:00pmThis is a field-based position working with the members/community in Champaign, Ford, Vermilion, Douglas, and surrounding counties.Community Health Workers (CHW) serve the community as a bridge between the member (community) and the health care system (providers) through outreach and education. By providing these services, CHW's help Aetna members attain and maintain better health outcomes, improve relationships with healthcare providers and help both parties become more acculturated with each other.This position will work under the direction of a designated professional.<ul><li>Requires flexibility to work in situations in which the working conditions are unknown, as environments and situation of patient homes may vary.</li><li>Ability to communicate medical information to health care professionals and care coordinators over the telephone.</li><li>Knowledge of formal and informal community agencies and resources.</li><li>Working knowledge of multi-system outreach programs related to health care delivery, clinical education, and health-related services.</li><li>Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.</li><li>Occasional weekend hours may be required.</li><li>Requires the ability to travel to multiple office locations and home locations.</li><li>Able to influence medical care providers as needed to adjust interventions based on member’s cultural, ethnic, or religious preferences.</li><li>Ability to work collaboratively in a team and manage multiple priorities, utilizes effective time management skills, and exercise sound judgment.</li><li>Exceptional organizational and interpersonal skills, with attention to detail required.</li><li>Ability to effectively provide support care to socially and medically complex patients in a variety of non-traditional settings.</li><li>This is a full-time position, requiring up to 70% percent travel</li></ul> Required Qualifications<ul><li>Must be located in Champaign, Ford, Vermilion, Douglas, or surrounding counties. </li><li>Must posses reliable transportation and be willing and able to travel up to 75% of the time in Champaign, Ford, Vermilion, Douglas, or surrounding counties. Mileage is reimbursed per our company expense reimbursement policy</li><li>Must possess reliable transportation.</li><li>1-3 years relevant experience (such as community outreach or home visits to members/patients).</li><li>Experience in serving the Medicaid Populations in urban or rural environments with familiarity of local, formal, and informal resource networks</li></ul> Preferred Qualifications<ul><li>Experience working in community/outpatient setting.</li><li>Community Health Worker Certification or equivalent training and experience.</li><li>Preferred skills: Mental Health First Aid, Trauma Informed Care, HIPAA, C.L.A.S. Standards, Motivational Interviewing, and specialized training in medical terminology and practices for designated health conditions.</li><li>Meet all requirements set forth by local state i.e. first aid, CPR, TB screen, etc.</li><li>Experience using a computer including the use of Excel and Electronic Health Records</li></ul> Education<ul><li>High School Diploma or G.E.D</li></ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$18.50 - $38.82This 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 peopleWe 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 <a href="https://learn.bswift.com/cvshealth-mainland" rel="nofollow noopener noreferrer" target="_blank">Benefits Moments</a>. We anticipate the application window for this opening will close on: 04/24/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all.

CVS Health

Community Health Worker, Field (Champaign, Ford, Vermilion, Douglas, and surrounding counties.)

Clinical Training

Coaching

Communication Skills

Community Health

Computer Skills

Corporate Policies

Detail Oriented

Establish Priorities

First Aid

Geography

HIPAA (Health Insurance Portability and Accountability Act)

Health Maintenance

Health Plan

Healthcare

Healthcare Providers

High School Diploma

Incentive Programs

Interpersonal Skills

Medicaid

Medical Record System

Medical Records

Medical Terminology

Multitasking

Organizational Skills

Outpatient Care

Patient Care

Psychiatry and Mental Health

Reimbursement

Safety/Work Safety

Stock Purchase Plans

Team Player

Time Management

Weight Management

Willing to Travel

Appcast PX 2

Cross Country Education is seeking a dedicated School Social Worker for a short-term FMLA coverage assignment serving a preschool population in Chicago Ridge, IL from August through November. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

HOUR

Ready to make a lasting impact this school year? Cross Country Education is seeking a dedicated School Social Worker for a short-term FMLA coverage assignment serving a preschool population in Chicago Ridge, IL from August through November.Position Overview: <ul><li>Provide direct social-emotional support and developmental interventions for preschool-aged students within a school setting.</li><li>Manage a specialized caseload while maintaining compliance with IEP goals, documentation, and state regulations.</li><li>Partner with families, teachers, and multidisciplinary teams to implement behavioral support plans and promote student success.</li><li>Deliver crisis support and connect students and families with appropriate resources as needs arise.</li></ul>Qualifications: <ul><li>Master’s Degree in Social Work (MSW) </li><li>Active Illinois Social Worker License</li><li>Valid Professional Educator License (PEL) with a School Social Worker endorsement</li><li>Prior experience working with preschool populations and knowledge of early childhood developmental milestones</li></ul>Why Make a Move with Cross Country Education? <ul><li>Top Compensation: Earn $42.90 - $56.20 Per Hour, based on your experience and qualifications as a Social Worker, with weekly pay and opportunities for bonuses and incentives. </li><li>Generous Benefits: Comprehensive health coverage, including Medical, Dental, Vision, and a 401(k) match to support your long-term financial goals. </li><li>Work-Life Balance: Enjoy a consistent 35-hour work week, paid sick leave, and a schedule that supports balance.</li></ul>Is It Time for a New Start? Company Website:  Cross Country Education provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type regarding race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Direct-Ed-IND2

DirectEd Educational Services

Early Childhood School Social Worker

FEED

Interacts regularly with physicians and other members of the health team to obtain information about the course of care; provides information in return regarding potential denial of reimbursement or inappropriate level of care: • Refers cases not meeting criteria in a timely manner to the physician advisor. General Summary: The Utilization Review/Case Manager is responsible for facilitating the appropriate use of hospital resources by ensuring that the patient meets acute inpatient criteria, and anticipates and provides assistance with discharge needs in a timely fashion.

DESCRIPTION:- 
General Summary: The Utilization Review/Case Manager is responsible for facilitating the appropriate use of hospital resources by ensuring that the patient meets acute inpatient criteria, and anticipates and provides assistance with discharge needs in a timely fashion. 
This position is a central communicator with external and internal customers, including vendors, payers, community agencies, patients, families, hospital staff and departmental personnel. The position collaborates with social workers and case managers for discharge planning and utilization review activities. This individual supports the functions of the department with efficient office management of the department by answering phones, ordering supplies, typing/computer entry, tracking and compiling data. 
Duties and Responsibilities: 
• Performs inpatient utilization management activities as determined by the utilization plan, professional standards and requirements of payers: 
• Works collaboratively with physicians and other healthcare team members to effect timely and appropriate patient management on an ongoing basis. 
• Collects data as required to support necessity of admission and continued hospitalization based on department standards. 
• Supports the DRG (Diagnosis Related Group) Assurance Program through data collection and ensures that the DRG worksheets contain complete and accurate information and appropriate DRG assignment. 
• Provides accurate clinical information to payers as required. 
• Resolves system problems impeding diagnostic or treatment progress such as delays in the discharge process. 
• Performs non-acute profiling, collecting data on avoidable days and physician advisor referral codes. 
• Assists in the division of Patient Care Services staff in facilitating the safe discharge of patients: 
• Participates in family meetings and care conferences as needed to resolve identified issues. 
• Ensures timely referrals for discharge planning occur and regional/community resources are utilized when available. 
• Refers complex cases to Social Services as indicated. 
• Uses clinical and social work experts as needed to ensure delivery of comprehensive patient services. 
• Ensures the patient's psychological needs are met through direct intervention or consultation with appropriate discipline. 
• Interacts regularly with physicians and other members of the health team to obtain information about the course of care; provides information in return regarding potential denial of reimbursement or inappropriate level of care: 
• Refers cases not meeting criteria in a timely manner to the physician advisor. 
• Determines need for and carries out termination of benefits and level of care changes based upon department procedures and maintaining responsibility for related communication and follow-up. 
• Follows up with Medical Director/Physician Advisor to determine outcome or resolution. 
• Central communicator with external and internal customers: 
• Practices, develops and endorses customer services skills in relationships with internal and external customers. 
• Provide continuity of care by using community resources and maintains updated resource manual for the department 
• Actively seeks ways to control costs without compromising patient safety, quality of care or the services delivered. 
• Collaborates with multidisciplinary team in facilitating the care of the patients and families within the acute setting and along the healthcare continuum. 
• Attends in-service presentations and completes all mandatory education requirements. 
Additional Duties and Responsibilities: 
• Maintains a safe patient care environment by identifying potential safety hazards and intervening appropriately. 
• Operates and maintains equipment used in patient care in a safe manner. 
• Understands and follows infection control requirements in the care of patients. 
• Maintains awareness of hospital changes by reading posted notices, attachments to paychecks and attending scheduled staff meetings. 
• Performs all other duties as assigned. 
Knowledge, Skills, and Abilities: 
• Graduate of an accredited school of nursing required. 
• Current RN License in the State of Illinois required. 
• Two years of relevant clinical experience preferred. 
• Previous utilization management experience preferred. 
• Knowledge of Medicare/Medicaid, Managed Care and Commercial insurance review processes preferred. 
• Ability to proactively anticipate and coordinate multiple functions to promote an optimal office environment. 
• Communicates clearly in written and oral modalities with appropriate grammar and vocabulary. 
• Proficient in Microsoft Word and Excel required. 
• Ability to provide excellent customer service at all times. 
Benefits: 
• Paid Sick Time - effective 90 days after employment 
• Paid Vacation Time - effective 90 days after employment 
• Health, vision & dental benefits - eligible at 30 days, following the 1st of the following month 
• Short and long-term disability and basic life insurance - after 30 days of employment 
MUST HAVE:- 
• Graduate of an accredited school of nursing required. 
• Current RN License in the State of Illinois required. 
• Two years of relevant clinical experience preferred.

Orison Solutions

RN-case manager

Oorwin

Family Worker Jobs in Decatur, IL

Family Worker Jobs in Decatur, IL

Jobs

Similar Job Searches

Stand out to leading employers.

Family Worker Jobs in Decatur, IL

Jobs

Community Health Worker, Field (Champaign, Ford, Vermilion, Douglas, and surrounding counties.)CVS Health

Early Childhood School Social WorkerDirectEd Educational Services

RN-case managerOrison Solutions

Similar Job Searches