Care Manager Specialist
3 days ago
Care Manager Specialist at CVS Health
Care Manager Specialist is a member of the Care Team at CVS Health. The Care Manager Specialist is responsible for the care management of members that are enrolled in the Dual Special Needs Plan and have limited health conditions. These members are usually stratified as low risk. The Care Manager Specialist will work in conjunction with the Nurse Care Manager, Care Coordinator, Transition of Care (TOC) Coach, and other members of the Care Team to improve the member's health outcomes, address social determinants of health, and connect members with community-based organizations.
Key Responsibilities- Conducts routine care coordination, support, and education through the use of care management resources in order to facilitate appropriate healthcare outcomes for members.
- Helps implement projects, programs, and processes for Case Management. Applies practical knowledge of Case Management to administer best-of-class policies, procedures, and plans for the area.
- Consults with Nurse Case Managers, Supervisors, Medical Directors, and/or other members of the Care team using a holistic approach.
- Presents cases at case conferences to obtain a multidisciplinary review in order to achieve optimal outcomes.
- Identifies and escalates quality of care issues through established channels.
- Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs.
- Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
- Provides coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
- Assists in encouraging members to actively participate with their provider in healthcare decision-making.
- 3+ years experience in health-related field
- Ability to travel up to 10%
- CRC, CDMS, CRRN, COHN, or CCM certification
- Medicare and Medicaid experience
- Managed care experience
- Experience working with geriatric special needs, behavioral health, and disabled population
- Knowledge of assessment, screenings, and care planning
- Bilingual (English/Spanish; English/Creole)
-
Patient Care Specialist
3 weeks ago
Lansing, Michigan, United States Lansing Urgent Care Full timeJob OverviewWe are seeking a highly skilled and compassionate Patient Care Specialist to join our team at Lansing Urgent Care. As a key member of our healthcare team, you will play a vital role in providing exceptional patient care and support to our patients and staff.Key Responsibilities:Assist healthcare providers with patient examinations, treatments,...
-
Travel Nurse RN
2 weeks ago
Lansing, Michigan, United States Care Team Solutions Full timeJob Title: Travel Nurse RN - Critical Care SpecialistCare Team Solutions is seeking a skilled Travel Nurse RN to join our team in a Critical Care Unit (CCU) role. As a critical care specialist, you will provide high-quality patient care in a fast-paced environment.Job Details:Specialty: Critical Care UnitDiscipline: Registered NurseDuration: 13 weeksHours...
-
Travel Nurse RN
1 week ago
Lansing, Michigan, United States Care Team Solutions Full timeJob Title: Travel Nurse RN - Critical Care SpecialistCare Team Solutions is seeking a skilled Travel Nurse RN to join our team in a Critical Care Unit (CCU) role. As a critical care specialist, you will provide high-quality patient care in a fast-paced environment.Job Details:Specialty: Critical Care UnitDiscipline: Registered NurseDuration: 13 weeksHours...
-
Hospice Care Manager
2 weeks ago
Lansing, Michigan, United States Transitions Care Full timeAbout the Role:Transitions Care is seeking a compassionate and experienced Administrator to lead our interdisciplinary team in providing exceptional care to our patients and families. As a key member of our team, you will be responsible for managing day-to-day operations, ensuring compliance with healthcare regulations, and overseeing a team of healthcare...
-
Hospice Care Manager
3 days ago
Lansing, Michigan, United States Transitions Care Full timeAbout the Role:Transitions Care is seeking a compassionate and experienced Administrator to join our team. As a key member of our Interdisciplinary Team, you will be responsible for planning, implementing, and evaluating medical and nursing care. This role requires strong leadership skills, with the ability to manage related expenditures in a fiscally...
-
Medical Reimbursement Specialist
3 days ago
Lansing, Michigan, United States Quality Care Rehabilitation Professionals Full timeAbout the RoleWe are seeking a highly motivated and detail-oriented Medical Reimbursement Specialist to join our team at Quality Care Rehabilitation Professionals. As a Medical Reimbursement Specialist, you will play a critical role in ensuring the accuracy and efficiency of our medical billing processes.Key ResponsibilitiesMonitor and manage accounts...
-
Eye Care Specialist
2 weeks ago
Lansing, Michigan, United States DOCS Full timeEye Care Specialist OpportunityWe are seeking a skilled Eye Care Specialist to join our team at DOCS Health. As an Eye Care Specialist, you will play a critical role in providing high-quality eye care services to our Military Service members.Responsibilities:Perform refractions and eyeglass fittings using equipment provided by DOCS HealthWork weekends and...
-
Medical Care Specialist
2 days ago
Lansing, Michigan, United States Lansing Urgent Care Full timeJob OverviewWe are seeking a highly skilled and compassionate Medical Assistant to join our team at Lansing Urgent Care. As a Medical Assistant, you will play a vital role in providing top-notch patient care and supporting our healthcare team.Key ResponsibilitiesAssist Providers with examination, treatment, and patient care tasksPerform administrative...
-
Mobile Respiratory Care Specialist
1 month ago
Lansing, Michigan, United States Healthcare Support Full timeMobile Respiratory Care SpecialistHealthcare Support is currently seeking a Mobile Respiratory Care Specialist to take on a role in a dynamic healthcare environment.Benefits of this Mobile Respiratory Care Specialist position with Healthcare Support:• Immediate enrollment in Health Insurance• Dental Insurance• Life Insurance• Access to open...
-
Custodial Specialist
1 month ago
Lansing, Michigan, United States Anthem Memory Care Full timePosition Title: Custodial SpecialistCompany: Anthem Memory CareLocation: Lansing, MIOverview:Under general supervision, the Custodial Specialist is responsible for performing a variety of cleaning and maintenance tasks to ensure a safe and pleasant environment for residents. This role involves thorough cleaning duties, including sweeping, mopping, and...
-
Medicaid Care Coordination Specialist
3 weeks ago
Lansing, Michigan, United States CVS Pharmacy Full timeAbout CVS Pharmacy:CVS Pharmacy is committed to enhancing the health and well-being of our communities. Our Medicaid Care Management Engagement Outreach Hub is a pioneering initiative aimed at fostering meaningful interactions with Medicaid members.Role Overview:The Medicaid Care Coordination Specialist will play a vital role in:Member Engagement:...
-
Medical Care Specialist
4 weeks ago
Lansing, Michigan, United States Centurion Managed Care Full timeJob SummaryCenturion Managed Care is seeking a part-time Licensed Practical Nurse (LPN) to join our team at Lansing Correctional Center. As a LPN, you will provide holistic nursing care to incarcerated patients under the direction of Registered Nurses and medical staff.Key ResponsibilitiesProvide nursing care to patients with a range of physical and...
-
Nurse Care Specialist
7 days ago
Lansing, Michigan, United States BrightStar Care Sterling Heights, MI Full timeJoin Our Team as a Registered NurseWe are seeking a compassionate and skilled Registered Nurse to join our team at BrightStar Care of Sterling Heights, MI. As a Registered Nurse, you will have the opportunity to make a meaningful difference in the lives of our clients and their families.What We Offer:Competitive compensation and benefits packageFlexible...
-
Nurse Care Specialist
2 weeks ago
Lansing, Michigan, United States Franciscan Health Full timeFranciscan Health is a leading healthcare provider in the Midwest, with 12 ministries and access points across Indiana and Illinois. We are seeking a skilled Registered Nurse to join our team at the Michigan City Campus. As a Nurse Care Specialist, you will provide compassionate, comprehensive care to our patients and the communities we serve. Your...
-
Patient Care Administrative Specialist
1 month ago
Lansing, Michigan, United States Team Rehabilitation Full timePatient Care Administrative Specialist ID:Category: Administrative/ClericalType: Regular Part-TimeOverviewTeam Rehabilitation is a network of therapist-owned outpatient physical therapy clinics dedicated to providing exceptional outpatient physical therapy, occupational therapy, and speech therapy. Our goal is to ensure that patients not only enjoy their...
-
Floor Care Specialist
1 month ago
Lansing, Michigan, United States Performance Plus Full timeFloor TechnicianOverviewThe Floor Care Specialist plays a crucial role in ensuring a hygienic and orderly environment by expertly managing floor surfaces. Familiarity with chemical safety and maintenance practices is advantageous. The individual is capable of executing essential responsibilities with or without reasonable accommodation.Key...
-
Nursing Care Specialist
2 weeks ago
Lansing, Michigan, United States Presbyterian Villages of Michigan Full timeJob SummaryWe are seeking a skilled and compassionate Nursing Care Specialist to join our team at Presbyterian Villages of Michigan. As a key member of our healthcare team, you will be responsible for providing high-quality nursing care to our residents, ensuring their physical, emotional, and social needs are met.ResponsibilitiesAssess patient health...
-
Patient Care Specialist
3 weeks ago
Lansing, Michigan, United States McLaren Greater Lansing Full timeJob SummaryWe are seeking a skilled Patient Care Specialist to join our team at McLaren Greater Lansing. As a key member of our healthcare team, you will provide essential support to our nursing staff and contribute to the delivery of high-quality patient care.Key ResponsibilitiesProvide routine patient care services, including call light response,...
-
Nurse Care Specialist
3 weeks ago
Lansing, Michigan, United States Regency at Lansing West Full timeJob SummaryWe are seeking a skilled and compassionate Nurse Care Specialist to join our team at Regency at Lansing West. As a Licensed Practical Nurse (LPN), you will play a vital role in providing high-quality nursing care and rehabilitation services to our residents.Key ResponsibilitiesPlan, coordinate, and provide nursing care services and health...
-
Floor Care Specialist
4 weeks ago
Lansing, Michigan, United States Performance Plus Full timeFloor TechnicianOverviewThe Floor Care Specialist plays a crucial role in ensuring a hygienic and orderly environment by effectively managing various floor surfaces. Familiarity with chemical safety and maintenance practices is advantageous. The employee is expected to perform essential responsibilities with or without reasonable accommodation.Key...