Case Management Specialist

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🕒 3 days ago

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Logo of CVS Health

CVS Health

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

• 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 • 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 • Collaborate and leverage the Care Manager RN clinical expertise

🎯 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

🏖️ Benefits

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

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