Case Management Specialist

CVS Health

Telephonic Care Manager Specialist at CVS Health coordinating care for members with social determinants of health. Engaging with members and collaborating with care teams to maintain optimal health.

Posted 6/26/2026full-timeRemote • Maine, New York, Ohio, Pennsylvania • 🇺🇸 United StatesJuniorMid-Level💰 $21 - $41 per hourWebsite

About the role

Key responsibilities & impact

Engage with members and coordinate their care for 50-75% of the day
Utilize resources to connect with 'hard-to-reach' members
Develop individualized care plans with members
Maintain meticulous documentation of care management activities
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

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 to meet the requirements of the position
Experience providing care management for Medicare and/or Medicaid members (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 managementindividualized care plansdocumentationcustomer serviceMedicareMedicaid

Soft Skills

communicationcoordinationinterpersonal skillsproblem-solving