Transition of Care Associate

Job not on LinkedIn

🕒 November 2

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $22 - $48 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Open for 11 days.
• Jobs at this company usually fill in 21 days.
• Reposted once.

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Complete post-discharge questionnaires, which may be market specific • Provide comprehensive discharge planning • Ensure members have filled/received medications and understand how to take them • Provide benefit education • Determine appropriate services and supports, including prior authorizations, PCP and specialty provider coordination, condition management education, medication management, and community resources • Evaluate health and social indicators • Identify and address barriers to optimal member health • Apply strategies to reduce member risk • Present cases at multidisciplinary case conferences • Facilitate care coordination with the care team • Coordinate post-discharge meal delivery, assist with securing DME, and help ensure timely physician follow-up • Explain payer/plan benefits, policies, and procedures to providers, members, and key personnel • Update care plans for changes in condition or behavioral health status • Complete outreach cadence calls and post-discharge questionnaires within compliance timelines • Use weekly and daily reporting to identify utilization and reduce emergency department utilization and 30-day hospital readmissions • Follow members from inpatient admission through the care continuum until return to prior community functioning • Facilitate interdisciplinary care team meetings with Social Services, Care Management, PCPs, and other key stakeholders

🎯 Requirements

• 2+ years work experience • LPN/LVN License in good standing with no restrictions required • Discharge planning • Advanced proficiency in Microsoft Word, Excel, and Outlook • Ability to multitask, prioritize, and effectively adapt to a fast-paced changing environment while providing outstanding care • Effective verbal and written communication skills • Associate's Degree Required • Bilingual preferred • Compact Licensure preferred

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program (in addition to base pay)

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