Care Manager – Specialist

CVS Health

Care Manager Specialist coordinating member care and engaging with 'hard-to-reach' members at CVS Health. Partnering with a variety of interdisciplinary teams to enhance member health plans and outcomes.

Posted 6/26/2026full-timeRemote • Maryland, Massachusetts, Ohio, South Carolina • 🇺🇸 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.

Requirements

What you’ll need

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)
Access to a private, dedicated space to conduct work effectively
Dependents must have separate care arrangements during work hours; continuous care responsibilities during shift times are not permitted.
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 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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

care managementhealth-related assessmentscare planningdocumentationcustomer serviceMedicareMedicaidchronic medical conditionsbehavioral healthSDoH needs

Soft Skills

engagementcoordinationcommunicationinterpersonal skillsproblem-solvingorganizationteam collaborationadaptabilityattention to detailtime management