Care Management Associate

Job not on LinkedIn

🔥 2 minutes ago

🐎 Kentucky, Louisiana, +2 more states – Remote

🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🏈 Ohio – Remote ⛰️ West Virginia – 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

• Perform initial review and triage of members • Manage population health member enrollment for child and family welfare populations • Manage a low-tier member caseload • Develop Wellness Plans and provide community resources • Review gaps in care and administer health questionnaires • Complete outbound calls to identify and engage appropriate community resources • Screen members using intervention rules and processes to identify needed medical services • Make referrals to medical services staff and coordinate required services according to the benefit plan • Identify triggers for referral into Case Management, Disease Management, Mixed Services, and other Specialty Programs • Use Aetna systems to build, research, and enter member information • Coordinate healthcare service delivery under the direction of a nurse or medical director • Promote communication with healthcare providers and healthcare team members • Perform non-medical research for establishing, maintaining, and closing open cases • Support team members by answering calls, researching information, and assisting with problem resolution • Maintain accurate documentation meeting risk management, regulatory, and accreditation requirements • Protect member confidentiality • Assist with research and resolution of claims payment issues • Complete detailed electronic records for each member call • Meet daily metrics and deliverables while working independently • Participate in multidisciplinary teams • Conduct persistent outreach and promote active connection

🎯 Requirements

• Must reside in Ohio, West Virginia, Kentucky, or Louisiana • 2-4 years’ experience in healthcare field or working with foster, child and family welfare populations • Effective communication, telephonic and organization skills; ability to manage multiple priorities and adapt to change • Strong customer service skills • 2+ years’ demonstrated proficiency with personal computers, keyboard, multi-system navigation, and MS Office Suite applications (Teams, Outlook, Word, Excel, etc.) • Some in-state travel (5-10%) may be required; must possess reliable transportation and be willing to travel • Must pass CANS certification exam within the first 3 months of employment • High school diploma or G.E.D. • Motivational interviewing skills preferred • Call Center experience preferred • Managed Care experience preferred

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources based on eligibility • Mileage reimbursement per company expense reimbursement policy • Flexible work schedule may be available after 6 months of service and demonstrated performance and attendance

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