Care Manager – Specialist

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🔥 1 hour ago

🏈 Ohio, Maryland, +2 more states – Remote

🏈 Ohio – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🌴 South Carolina – Remote

💵 $21 - $36 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

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

• 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

• 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

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs