Care Management Specialist

1 month ago


Atlanta, Georgia, United States CVS Health Full time
Job Title: Care Management Specialist

Care Management Specialists play a vital role in ensuring the health and well-being of our members. As a member of the Care Team, you will be responsible for coordinating care, completing assessments, and developing individualized care plans to address the unique needs of our members.

Responsibilities:
  • Interact with members via phone calls to coordinate care and address their needs
  • Complete and review assessments to identify gaps in care and develop care plans
  • Participate in Interdisciplinary Team meetings to discuss member health care needs and explore better outcomes
  • Link members with health plan benefits and community resources
  • Perform administrative work to maintain skills needed for job duties
Requirements:
  • 3+ years' experience in a health-related field
  • 2+ years of customer service experience
  • 2+ years of experience with claims
  • Strong organizational skills and ability to work independently
  • Excellent communication and customer service skills
Preferred Qualifications:
  • Master's degree in a healthcare-related field
  • CRC, CDMS, CRRN, COHN, or CCM certification
  • Medicare and Medicaid experience
  • Managed care experience
  • Experience working with geriatric special needs, behavioral health, and disable populations
Benefits:
  • Competitive pay range: $36.78
  • Eligibility for a CVS Health bonus, commission, or short-term incentive program
  • Full range of medical, dental, and vision benefits
  • 401(k) retirement savings plan and Employee Stock Purchase Plan
  • Term life insurance and short-term and long-term disability benefits
  • Well-being programs, education assistance, and free development courses


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