Care Management Associate

CVS Health

23h

About The Position

The Environmental Modifications Care Management Associate (EM CMA) plays a key role in supporting Long‑Term Services and Supports (LTSS) members by coordinating home modification projects that improve safety, accessibility, and quality of life. In this role, you’ll serve as the primary point of coordination for Environmental Modification (EM) requests—from initial referral through project completion. You’ll partner with Care Managers, contractors, Medical Directors, and members to ensure projects are delivered efficiently, compliantly, and with a strong focus on member satisfaction. This position is ideal for someone who enjoys project coordination, vendor collaboration, and mission‑driven work.

Requirements

Experience in Medicaid, LTSS, waiver programs, or healthcare administrative support
Experience with authorizations, utilization management, or vendor coordination
Ability to review contractor bids, pricing, and scopes of work
Strong organizational, time‑management, and communication skills
High School Diploma or equivalent

Nice To Haves

Experience with Environmental Modifications or HCBS programs
Knowledge of state Medicaid policies and medical necessity criteria
Experience working with contractors or vendors
Proficiency with utilization management systems and Microsoft Office
Associate degree

Responsibilities

Manage EM requests from referral through completion
Coordinate with vendors and contractors, including review of bids and scopes of work
Support authorization and utilization workflows
Ensure compliance with Medicaid, LTSS, and waiver requirements
Communicate clearly with internal teams and members to keep projects on track