Care Management Associate - Must live in Illinois

CVS Health • Tinley Park, IL

98d • $18 - $38

About The Position

The Care Management Associate supports comprehensive coordination of medical services including Care Team intake, screening, and supporting the implementation of care plans to promote effective utilization of healthcare services. Promotes/ supports quality effectiveness of healthcare services. Responsible for initial review and triage of Care Team tasks. Support the development and Implementation of Care Plans. 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 messages, researching information, and assisting in problem solving. Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements. Protects the confidentiality of member information, and adheres to company policies regarding confidentiality. May assist in the research and resolution of claims payment issues. Must have effective communication, telephonic, and organization skills. 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.

Requirements

• 3+ years customer service experience in a production based environment.
• Must have valid Illinois Drivers License.
• Must be comfortable with computers - utilizing multiple systems and basic excel and outlook.
• Ability to work independently.

Nice To Haves

• Ability to type, problem solve, critically think, use basic office software, and communicate effectively.

Responsibilities

• Support comprehensive coordination of medical services including Care Team intake and screening.
• Assist in the implementation of care plans to promote effective utilization of healthcare services.
• Responsible for initial review and triage of Care Team tasks.
• Perform non-medical research pertinent to the establishment, maintenance, and closure of open cases.
• Provide support services to team members by answering telephone calls, taking messages, researching information, and assisting in problem solving.
• Maintain accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements.
• Protect the confidentiality of member information and adhere to company policies regarding confidentiality.
• Assist in the research and resolution of claims payment issues.

Benefits

• Affordable medical plan options.
• 401(k) plan (including matching company contributions).
• Employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Paid time off.
• Flexible work schedules.
• Family leave.
• Dependent care resources.
• Colleague assistance programs.
• Tuition assistance.
• Retiree medical access.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED