Care Manager Specialist

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Yesterday

🏈 Ohio – Remote

Although this job is listed in Ohio, this company may be open to hiring remote in other states.

💵 $21 - $36 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

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CVS Health

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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.

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

📋 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 • 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)

🏖️ Benefits

• Affordable medical plan options • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs 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