Transition of Care Associate

Job not on LinkedIn

🔥 39 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $22 - $48 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 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

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

• Complete post-discharge questionnaires and outreach cadence calls within required compliance-driven timelines • Provide comprehensive discharge planning and coordinate seamless transitions to the next care setting • Ensure members fill or receive medications and understand how to take them • Provide benefit education and clinical assistance for services and supports • Coordinate prior authorizations, PCP and specialty provider communication, condition management, medication management, and community resources • Evaluate health and social indicators and identify barriers to optimal member health • Apply strategies to reduce member risk • Present cases at multidisciplinary case conferences • Coordinate care with the care team to support optimal wellness and self-management • Coordinate post-discharge meal delivery, secure DME, and support timely physician follow-up • Explain payer and plan benefits, policies, and procedures to providers, members, and key personnel • Update care plans following changes in condition or behavioral health status • Use reporting to identify utilization and reduce Emergency Department utilization and 30-day hospital readmissions • Follow members from inpatient admission through the care continuum until return to prior community functioning • Facilitate interdisciplinary care team meetings with Social Services, Care Management, PCPs, and other key participants • Review prior claims to assess impact on case management and eligibility status • Use holistic assessments and questionnaires to identify referrals to clinical functionality resources

🎯 Requirements

• 2+ years work experience • LPN/LVN License in good standing with no restrictions required • Discharge planning • Advanced proficiency in Microsoft Word, Excel, and Outlook • Ability to multitask, prioritize, and effectively adapt to a fast-paced changing environment while providing outstanding care • Effective verbal and written communication skills • Associate's Degree Required • Bilingual preferred • Compact Licensure preferred • Bachelor's Degree Preferred

🏖️ 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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