Case Management Specialist

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🔥 0 minutes ago

🦞 Maine, New York, +2 more states – Remote

🦞 Maine – Remote 🗽 New York – Remote 🏈 Ohio – Remote 🔔 Pennsylvania – Remote

💵 $21 - $40 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

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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

• Engage with members and coordinate their care for 50-75% of the day • Utilize resources to connect with 'hard-to-reach' members • Develop individualized care plans with members • Maintain meticulous documentation of care management activities • Work with the Interdisciplinary Care Team to address barriers to care • Identify and connect members with health plan benefits and community resources • Meet regulatory requirements within specified timelines

🎯 Requirements

• 2+ years of experience in a health-related field • 2+ years of customer service experience • Proficient in Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams) • Access to a private, dedicated space to conduct work effectively to meet the requirements of the position • Experience providing care management for Medicare and/or Medicaid members (preferred) • Bilingual skills, especially English-Spanish (preferred)

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs