Care Management Associate

Job not on LinkedIn

🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $18 - $35 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CVS Health Careers

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛒 Retail

📦 Logistics

Healthcare • Retail • Logistics

CVS Health Careers is the recruitment and employer branding arm of CVS Health, showcasing job opportunities across the company's broad operations—pharmacy retail stores, pharmacy services, health care clinics, distribution warehouses, corporate functions and transportation. The careers site emphasizes purpose-driven work focused on improving access, affordability and quality of health care, and highlights a large workforce (300,000+ employees), inclusive culture, benefits, and hiring resources for applicants.

📋 Description

• Evaluate patients using targeted intervention business rules and processes to identify needed medical services • Make appropriate referrals to medical services staff and coordinate required services according to the benefit plan • Communicate health care service delivery based on outcomes/reviews noted by the nurse or medical director • Perform non-medical research for establishing, maintaining, and closing open cases • Answer telephone calls from providers and members and take accurate messages • Support electronic transmission review and referrals as appropriate • Use internal tools to determine required steps based on clinical requirements and plan guidelines • Maintain accurate and complete documentation meeting risk management, regulatory, and accreditation requirements • Communicate internally and externally to enhance medical management services • Obtain discharge dates and make appropriate referrals to the clinical team for additional follow-up • Complete work independently while exercising judgment and critical thinking • Meet quality and quantity performance standards in a rapidly changing environment

🎯 Requirements

• Relevant work experience • Adept at problem solving and decision making skills • High school diploma • Preferred: Telephonic experience • Preferred: Member outreach experience

🏖️ Benefits

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

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