Care Management Associate

CVS Health

1d•Remote

About The Position

This work at home role as a Care Management Assistant supports the coordination of member healthcare services by assisting with intake, screening, and triage of care team tasks, ensuring members receive timely, appropriate care. The role involves interacting with members, providers, and internal teams to gather information, provide updates, and facilitate smooth communication throughout the care process. Responsibilities also include maintaining accurate and compliant documentation within internal systems, conducting non-clinical research to support case activity, and monitoring cases for needed follow-up or program referrals. The associate will uphold quality and regulatory standards by adhering to company policies, protecting member confidentiality, and supporting compliance with care management guidelines and accreditation requirements.

Requirements

Call Center Experience
Strong verbal and written communication skills with the ability to handle member and provider interactions professionally
Solid customer service skills, including problem-solving, attention to detail, and a supportive, solutions-focused approach
Ability to stay organized, manage multiple tasks, and work effectively in a fast-paced, team-oriented environment
Familiarity with basic medical terminology and general concepts used in care management (or willingness to learn)
Proficiency with computers, including navigating multiple systems and using Microsoft Word and Excel
Ability to collaborate with a multidisciplinary care team, including clinical and non-clinical staff

Nice To Haves

Insurance Experience

Responsibilities

Support the coordination of member healthcare services by assisting with intake, screening, and triage of care team tasks
Help ensure that members receive timely, appropriate care
Interact with members, providers, and internal teams to gather information, provide updates, and facilitate smooth communication throughout the care process
Maintain accurate and compliant documentation within internal systems
Conduct non-clinical research to support case activity
Monitor cases for needed follow-up or program referrals
Uphold quality and regulatory standards by adhering to company policies
Protect member confidentiality
Support compliance with care management guidelines and accreditation requirements