Care Management Associate

Job not on LinkedIn

🔥 1 minute ago

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $18 - $35 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.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

WebsiteLinkedInAll Job Openings

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

• Interface with care coordinators, managers, community members, referral sources, children services, children and young adults, guardians, family members, case managers, and behavioral health providers • Provide administrative and operational support to the Care Coordination department • Manage the inbound care management queue line • Respond to questions and inquiries from members, guardians, and parties assisting with services • Take referrals for OhioRISE, confirm Medicaid eligibility, and process referrals • Complete Health Risk Assessments for assigned members • Work with complex data systems, an Electronic Record System, and/or Excel • Support changing administrative and operational needs • Maintain accurate workflows and information while adapting to changing processes and priorities • Collaborate and communicate with team members and leadership • Maintain confidentiality and comply with HIPAA and organizational privacy requirements

🎯 Requirements

• Must reside in Ohio • Recent experience working for other MCOs, specifically within the last 5-7 years in the state of Ohio; experience may be replaced with recent employment with healthcare organizations or companies • Must be able to pass the CANS assessment and obtain certification within 90 days of employment • Ability to demonstrate critical and quick thinking • Detail oriented for manual data entry • Ability to handle escalated calls • Problem solving skills in stressful situations • Ability to multitask in multiple systems at one time • Ability to take initiative and accountability in own learning • Ability to independently manage time and assigned tasks • Must maintain confidentiality and comply with all HIPAA and organizational privacy requirements • HS Diploma, GED or Equivalent Experience

🏖️ Benefits

• Full-time comprehensive benefits package • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources based on eligibility • Employer-provided equipment • No required holidays or weekends