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CVS Health

Bringing our heart to every moment of your health.

Care Management Specialist

AnalystAnalystFull TimeRemoteMid LevelTeam 10,001+Since 1963H1B No SponsorCompany SiteLinkedIn

Location

Virginia + 1 moreAll locations: Virginia, West Virginia

Posted

5 days ago

Salary

$21 - $36 / hour

Seniority

Mid Level

Associate Degree2 yrs expEnglishSpanish

Job Description

• 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

Job 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

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