Experienced Care Management Associate - Remote Medicaid Engagement Outreach Hub at CVS Health

Join the CVS Health Team: Transforming Healthcare with Compassion and Innovation

At CVS Health, we're dedicated to revolutionizing the way healthcare is delivered, making it more personal, convenient, and affordable for everyone. As a leader in the healthcare industry, we're committed to fostering a culture of diversity, inclusion, and belonging, where every individual can thrive. Our purpose is clear: bringing our heart to every moment of your health. We're seeking a talented and compassionate Care Management Associate to join our Medicaid Care Management Engagement Outreach Hub team remotely. If you're passionate about delivering exceptional care and support to Medicaid members, we want to hear from you!

About the Role

Our Engagement Outreach Hub is a cutting-edge initiative focused on maximizing Medicaid member interaction through proactive outreach and engagement. As a Care Management Associate, you'll play a vital role in connecting with members, identifying their needs, and coordinating comprehensive care services. This is an exciting opportunity to join a dynamic team of healthcare professionals who share a passion for delivering high-quality care and support.

Key Responsibilities

• Conduct telephonic outreach to Medicaid members, engaging them in care management services and promoting effective utilization of healthcare resources.
• Facilitate case assignments, connecting members to care managers through warm transfers and ensuring seamless care coordination.
• Provide exceptional customer service, addressing member concerns, and resolving issues in a timely and professional manner.
• Maintain accurate and complete documentation of member interactions, adhering to regulatory requirements and company policies.
• Collaborate with internal and external stakeholders, including care managers, healthcare providers, and community resources, to ensure comprehensive care coordination.
• Adhere to compliance policies and procedures, maintaining confidentiality and protecting member information.
• Meet daily metrics and productivity standards, demonstrating a positive attitude and enthusiasm for the role.

Requirements

To succeed in this role, you'll need:

• Effective communication, telephonic, and organizational skills, with the ability to manage multiple priorities and adapt to change.
• Strong customer service skills, with attention to detail, sensitivity to issues, and proactive problem-solving.
• Ability to work independently and competently, meeting deliverables and deadlines while demonstrating an outgoing, enthusiastic, and caring presence.
• Proficiency in electronic documentation, with thorough and accurate completion of member records.
• Experience working in a team environment, including internal and external participants.

Preferred Qualifications

We'd love to see:

• 2-4 years of experience in the healthcare field, preferably in a medical office, hospital setting, or medical billing/coding.
• Proficiency in Microsoft Office, including Word, Outlook, and Excel, with data entry and documentation experience.
• Familiarity with basic medical terminology and concepts used in care management.
• Flexibility to work occasional nights and weekends outside of standard business hours (8:00 am - 8:00 pm).
• Strong organizational skills, including effective verbal and written communication.
• Bilingual (Spanish) skills.

Education

A High School diploma, G.E.D., or equivalent is required for this role.

What We Offer

At CVS Health, we're committed to supporting our employees' growth and well-being. As a Care Management Associate, you can expect:

• Competitive salary range: $18.50 - $34.60 per hour (dependent on location and experience).
• Comprehensive benefits package, including opportunities for professional growth and development.
• Flexible work arrangements, including remote work options.
• A culture of diversity, inclusion, and belonging, with opportunities for community engagement and volunteerism.
• Recognition and rewards for outstanding performance and contributions.

Why Join CVS Health?

At CVS Health, we're dedicated to transforming the way healthcare is delivered. By joining our team, you'll have the opportunity to:

• Make a meaningful impact on the lives of our members and the communities we serve.
• Work with a talented and compassionate team of healthcare professionals.
• Develop your skills and expertise through comprehensive training and development programs.
• Enjoy a culture of innovation, collaboration, and continuous improvement.

Are You the One We're Looking For?

If you're passionate about delivering exceptional care and support to Medicaid members, we want to hear from you! Apply now to join our dynamic team and start making a difference in the lives of our members.

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