Care Management Associate

Job not on LinkedIn

🔥 42 minutes ago

🐎 Kentucky, Louisiana, +3 more states – Remote

🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🏈 Ohio – Remote ⚔️ Virginia – 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

• Manage enrollment for Children’s Specialty program, including foster, child and family welfare populations • Carry and manage a low-tier member caseload • Perform initial member review and triage • Develop Wellness Plans and provide community resources • Review gaps in care and administer health questionnaires • Complete outbound calls to identify and engage community resources • Screen members to identify needed medical services and make referrals • Coordinate required healthcare services under nurse or medical director direction • Identify triggers for referral to Case Management, Disease Management, Mixed Services, and Specialty Programs • Use Aetna systems to build, research, and enter member information • Promote effective utilization and quality of healthcare services • Coordinate communication with healthcare providers and health team members • Conduct non-medical research for case establishment, maintenance, and closure • Provide team support by answering calls, researching information, and solving problems • Maintain accurate documentation meeting regulatory, risk management, and accreditation requirements • Protect member confidentiality • Assist with research and resolution of claims payment issues • Complete detailed electronic documentation after each member call • Meet daily metrics, deliverables, and deadlines • Participate in multidisciplinary teams • Conduct persistent outreach and promote active member connection

🎯 Requirements

• Must reside in Ohio, West Virginia, Kentucky, or Louisiana • 2–4 years’ experience in healthcare or working with foster, child and family welfare populations • Effective communication, telephonic, and organizational skills • Ability to manage multiple priorities and adapt to change • Strong customer service skills • 2+ years’ proficiency with personal computers, keyboard, multi-system navigation, and MS Office Suite applications including Teams, Outlook, Word, and Excel • Some in-state travel (5–10%) may be required • Reliable transportation and willingness 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

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • Flexible work schedule may be available after 6 months of service with demonstrated performance and attendance • Mileage reimbursement according to company expense reimbursement policy • CVS Health bonus, commission or short-term incentive program in addition to base pay range

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