Care Management Associate

CVS Health • Work from hom, NY

357d • $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. Training is 4 weeks, then 8 weeks with a preceptor. Work shift hours are from 8:00am to 8:00pm, local time, 8 hour shift Monday through Friday with rotating weekends and holidays.

Requirements

• 2 years of experience in either customer service, telemarketing and/or sales.
• Proficiency in typing for keying in information and navigating in multiple systems.
• Experience with computers including knowledge of Microsoft Word, Outlook, and Excel.
• Requires long periods of sitting and telephone and computer work.

Nice To Haves

• Data entry and documentation within member records.
• Medical office experience.
• Call center experience.
• Medical terminology knowledge.
• Strong telephonic communication skills.
• Strong organizational skills with an ability to prioritize tasks to meet time-sensitive deadlines.
• Effective verbal and written communications skills with both customers and teammates.

Responsibilities

• Responsible for initial review and triage of Care Team tasks.
• Identifies principal reason for admission, facility, and member product to correctly apply intervention assessment tools.
• Utilizes Aetna systems to build, research and enter member information, as needed.
• Supports the development and implementation of Care Plans.
• Coordinates and arranges for health care service delivery under the direction of nurse or medical director.
• Promotes communication, both internally and externally to enhance effectiveness of medical management services.
• 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 solving problems.
• Adheres to compliance with policies and regulatory standards.
• Maintains accurate and complete documentation of required information.
• Protects the confidentiality of member information and adheres to company policies regarding confidentiality.
• May assist in the research and resolution of claims payment issues.
• Supports the administration of the hospital care, case management and quality management processes.

Benefits

• Full range of medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Employee Stock Purchase Plan.
• Fully-paid term life insurance plan.
• Short-term and long-term disability benefits.
• Numerous well-being programs.
• Education assistance.
• Free development courses.
• CVS store discount.
• Paid Time Off (PTO) or vacation pay.
• Paid holidays throughout the calendar year.

What This Job Offers

• Job Type: Full-time
• Industry: Health and Personal Care Retailers
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees