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

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

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

• Supports comprehensive coordination of medical services including intake and outgoing calls. • Reviews eligibility and benefits, opens pre-certification cases, and approves or sends to nursing staff for review. • Evaluates patients using targeted intervention business rules and processes to identify needed medical services. • Communicates health care service delivery based on outcomes noted by the nurse or medical director. • Performs non-medical research pertinent to the establishment, maintenance, and closure of open cases. • Provides support services to team members by answering telephone calls, taking accurate messages, and supporting electronic transmission review.

🎯 Requirements

• 2 years’ experience as a medical assistant, office assistant or related experience. • Minimum of 6 months of call center experience required. • Effective communication, telephonic and organization skills. • Familiarity with basic medical terminology and concepts used in care management. • Strong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification, and resolution of issues to promote positive outcomes for members. • Computer literacy to navigate through Internal/external computer systems, including Excel and Microsoft Word.

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • other resources, based on eligibility