Care Management Associate

Job not on LinkedIn

🕒 July 15

🌽 Illinois – Remote

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💵 $18 - $38 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 18%

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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

• Support coordination of medical and social services for members • Assist with care team intake, task triage, outreach, and care plan implementation • Review, prioritize, and triage incoming Care Team tasks • Screen members using established guidelines and business rules to identify care needs and required services • Initiate referrals to Case Management, Disease Management, LTSS, and other specialty programs • Conduct outreach to members, providers, and care team partners • Document member information, outreach, and case activity accurately and timely in internal systems • Support development and implementation of member care plans under clinical staff direction • Coordinate healthcare services and identify in-network, cost-effective care options • Perform non-clinical research to support case development, maintenance, and closure • Communicate with internal teams, providers, and members to facilitate care delivery • Provide administrative and operational support, including call handling, issue resolution, and task follow-up • Maintain accurate, complete, and audit-ready documentation • Adhere to CMS, NCQA, URAC, and internal quality guidelines

🎯 Requirements

• 2–4 years of experience in a healthcare setting (e.g., medical assistant, office assistant, care coordination support) • Strong computer proficiency, including Microsoft Word and Excel • Ability to navigate multiple systems and manage tasks efficiently in a fast-paced environment • High School Diploma or GED required • Strong verbal and written communication skills, including telephonic outreach • Knowledge of basic medical terminology and care management concepts • Excellent organizational and time management skills with attention to detail • Customer-focused approach with the ability to resolve issues proactively • Ability to collaborate effectively within a multidisciplinary team • Must maintain a dedicated, distraction-free workspace • Reliable childcare or dependent care arrangements during working hours • Ability to manage a high-volume workload and meet productivity and documentation requirements

🏖️ 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 supporting physical, emotional, and financial well-being, based on eligibility

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