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Care Management Analyst
2 months ago
Company Overview:
At CVS Health, we are dedicated to enhancing health care experiences by putting our heart into every interaction. Our mission is to provide human-centric health solutions that adapt to the evolving needs of our community.
Position Summary:
The Care Manager plays a crucial role within the Care Team, focusing on the management of members enrolled in the Dual Special Needs Plan who present with minimal health challenges. Typically categorized as low risk, these members require a tailored approach to improve their health outcomes. The Care Manager collaborates closely with the Nurse Care Manager, Care Coordinator, Transition of Care Coach, and other team members to address social determinants of health and connect members with essential community resources.
Key Responsibilities:
- Engage with low stratification members through phone interactions, coordinating care and updating assessments and care plans that outline specific problems, goals, and interventions.
- Utilize assessments and claims data to develop personalized care plans for members.
- Actively participate in Interdisciplinary Team meetings to evaluate members' health care needs and identify barriers to care, aiming for improved health outcomes.
- Identify and connect members with health plan benefits and community resources.
- Perform administrative tasks to maintain necessary skills for effective job performance.
Essential Qualifications:
- Consistent and reliable attendance.
- Familiarity with community resources and services.
- Strong organizational abilities.
- Ability to work independently.
- Maintain professional relationships with members and colleagues.
- Effective verbal and written communication skills.
- Proficient in computer systems and Microsoft Office software.
- Excellent customer service skills.
- A dedicated home workspace is required.
Work Environment:
This position is remote, with a requirement to reside in the Eastern Standard Time (EST) zone. The standard working hours are Monday through Friday, from 8 AM to 5 PM EST.
Required Qualifications:
- A minimum of 3 years of experience in a health-related field.
Preferred Qualifications:
- Certifications such as CRC, CDMS, CRRN, COHN, or CCM.
- Experience with Medicare and Medicaid.
- Background in managed care.
- Experience working with geriatric special needs, behavioral health, and disabled populations.
- Knowledge of assessments, screenings, and care planning.
- Bilingual abilities (English/Spanish; English/Creole) are a plus.
Education:
A Bachelor's Degree or equivalent experience is required.
Compensation and Benefits:
The typical pay range for this role is $44.99 per hour. This range represents the base hourly rate or base annual full-time salary for all positions within this job grade. Actual salary offers will vary based on experience, education, geography, and other relevant factors. In addition to base pay, CVS Health offers a comprehensive benefits package, including medical, dental, and vision coverage, a 401(k) retirement savings plan, an Employee Stock Purchase Plan, fully-paid term life insurance, and both short-term and long-term disability benefits. Employees also enjoy various well-being programs, education assistance, free development courses, and discounts at CVS stores and with participating partners. Paid Time Off (PTO) and holidays are also provided in accordance with state law and company policies.
Equal Opportunity Employer:
CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
