Care Management Specialist
CVS Health
full-time
Posted on:
Location Type: Remote
Location: Virginia • West Virginia • United States
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Salary
💰 $21 - $37 per hour
About the role
- Dedicate 50-75% of the day to engaging with members and coordinating their care
- Utilize all available resources to connect with and engage “hard-to-reach” members
- Partner with members to develop individualized care plans that encompass goals and interventions
- Maintain meticulous documentation of care management activities in the member’s electronic health record
- Work with the Interdisciplinary Care Team to address barriers to care
- Identify and connect members with health plan benefits and community resources
- Meet regulatory requirements within specified timelines
- Consults with the Care Manager RN for clinical knowledge and decision making
- Support team objectives and enhance operational efficiency
Requirements
- 2+ years of experience in a health-related field
- 2+ years of customer service experience
- Proficient in Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams)
- Experience providing care management for Medicare and/or Medicaid members (preferred)
- Experience working with individuals with SDoH needs, chronic medical conditions, and/or behavioral health (preferred)
- Experience conducting health-related assessments and facilitating the care planning processes (preferred)
- Bilingual skills, especially English-Spanish (preferred)
- Associate’s degree with relevant experience in a health care-related field or Practical Nurse degree/certificate with active state licensure
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs
- Confidential counseling and financial coaching
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access
- Many other benefits depending on eligibility
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
care managementhealth-related assessmentsindividualized care plansdocumentationregulatory complianceSDoH needschronic medical conditionsbehavioral health
Soft Skills
customer serviceengagementcoordinationcommunicationteam collaborationoperational efficiency
Certifications
Associate’s degreePractical Nurse degree/certificateactive state licensure