Care Manager Specialist

CVS Health

Telephonic Care Manager Specialist at CVS Health coordinating care for members with social health determinants. Engaging and collaborating with interdisciplinary teams to support optimal member health in a remote capacity.

Posted 5/19/2026full-timeRemote • Montana • 🇺🇸 United StatesJuniorMid-Level💰 $21 - $37 per hourWebsite

About the role

Key responsibilities & impact

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 to meet their identified needs.
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 and develop strategies for maintaining the member’s stable health condition.
Identify and connect members with health plan benefits and community resources.
Meet regulatory requirements within specified timelines.
Consult with the Care Manager RN within the Care Team for clinical knowledge, medication regimes, and supportive clinical decision making.
Collaborate and leverage the Care Manager RN clinical expertise to ensure members’ needs are adequately addressed.
Support team objectives, enhance operational efficiency, and ensure delivery of high-quality care to members. This may include participating in special projects, contributing to process improvement initiatives, or assisting with mentoring new team members.

Requirements

What you’ll need

2+ years of experience in a health-related field
2+ years of customer service experience
Technical Proficiency: Proficient in Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams)
Work Environment: Access to a private, dedicated space to conduct work effectively to meet the requirements of the position.
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)

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
other resources, based on eligibility

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

care managementhealth-related assessmentscare planningdocumentationclinical decision makingstrategies for health maintenanceengagement with membersindividualized care planscustomer serviceSDoH needs

Soft Skills

collaborationcommunicationmentoringoperational efficiencyproblem-solvinginterpersonal skillsteam objectives supportadaptabilityattention to detailtime management