Care Management Associate - Remote Opportunity with Aetna, a CVS Health Company - Join Our Team in Revolutionizing Healthcare

Transforming Healthcare, One Conversation at a Time

At CVS Health, we're on a mission to redefine the healthcare landscape by making it more personal, convenient, and affordable. As a leading healthcare innovator, we're committed to delivering exceptional care and support to our members. Our Aetna Medicaid Care Management Engagement Outreach Hub is a pioneering initiative that prioritizes member interaction, leveraging inbound and outbound touchpoints to drive behavioral change and improve health outcomes. We're seeking a dedicated and compassionate Care Management Associate to join our team and play a vital role in shaping the future of healthcare.

About the Role

The Care Management Associate is a critical component of our Outreach Hub, responsible for providing comprehensive care coordination through telephonic outreach and enrollment of eligible members. As a healthcare professional with a passion for delivering exceptional customer service, you'll be the face of our organization, connecting with members, facilitating case assignments, and ensuring seamless transitions to care managers. Your expertise will help drive the successful implementation of care plans, promoting effective utilization of healthcare services and supporting quality effectiveness.

Key Responsibilities

• Conduct telephonic outreach to Medicaid members, engaging them in care management programs and facilitating enrollment
• Provide exceptional customer service, addressing member inquiries and concerns in a timely and empathetic manner
• Facilitate case assignments and warm transfers to care managers, ensuring seamless transitions and continuity of care
• Maintain accurate and complete documentation of member interactions, adhering to regulatory and accreditation requirements
• Support team members by answering telephone calls, researching information, and assisting in problem-solving
• Demonstrate a strong understanding of care management processes, including privacy and confidentiality, quality management, and regulatory compliance

Essential Qualifications

To succeed in this role, you'll need:

• 2 years of experience in the healthcare field, preferably in a medical office, hospital setting, or medical billing/coding environment
• Proficiency in Microsoft Office applications, including Word, Outlook, and Excel, with experience in data entry and documentation within member records
• 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 to 8:00 pm)
• Strong organizational skills, with effective verbal and written communication skills
• A high school diploma or equivalent GED

Preferred Qualifications

To take your application to the next level, consider:

• Bilingual skills (Spanish), with the ability to pass a written and oral exam
• Excellent communication, telephonic, and organizational skills, with the ability to manage multiple priorities and adapt to change with enthusiasm
• A proven track record of meeting daily metrics with speed, accuracy, and a positive attitude
• Strong customer service skills, with a focus on coordinating service delivery, addressing customer issues, and promoting positive outcomes for members
• The ability to work independently and competently, meeting deliverables and deadlines while demonstrating an outgoing, enthusiastic, and caring presence telephonically
• Effective participation in a multi-disciplinary team, including internal and external participants

What We Offer

At CVS Health, we're committed to supporting the well-being and success of our colleagues. As a Care Management Associate, you'll enjoy:

• A competitive salary, with a pay range of $18.50 - $31.72 per hour
• A comprehensive benefits package, including medical, dental, and vision coverage, 401(k) retirement savings plan, and Employee Stock Purchase Plan
• Opportunities for career growth and professional development, with access to free development courses and education assistance
• A dynamic work environment that prioritizes work-life balance, with paid time off, holidays, and flexible scheduling
• A culture that values diversity, equity, and inclusion, with a commitment to creating a workplace that is inclusive and supportive of all colleagues

Join Our Team

If you're passionate about delivering exceptional care and support to our members, we want to hear from you. As a Care Management Associate with Aetna, a CVS Health Company, you'll play a vital role in shaping the future of healthcare. Apply now and let's discuss how you can become a part of our success story.

CVS Health is an equal opportunities employer, committed to diversity and inclusion. We welcome applications from qualified candidates with arrest or conviction records, in accordance with all federal, state, and local laws.

The anticipated application window for this opening will close on August 31, 2024. Don't miss this opportunity to join our team and make a meaningful difference in the lives of our members. Apply today!