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CVS Health · 14 hours ago

Care Management Coordinator

United States

Full-time

Remote

Entry, Mid Level

$21.10/hr - $40.90/hr

2+ years exp

CVS Health is a leading health solutions company dedicated to transforming healthcare. They are seeking a Care Management Coordinator to join their Aetna care management team, providing exceptional care to dual eligible populations by collaborating with members, healthcare providers, and community organizations.

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Responsibilities

Conduct the annual Health Risk Survey to support needs identification for the member’s Individual Plan of Care

Inform the assigned care manager of newly identified health/safety risks or service needs

Complete care coordination activities delegated by the care manager within an established timeframe

Inform the assigned care manager and/or associate manager of any identified quality of care issues

Passionately support the member’s care coordination needs and drive solutions to address those needs

Use problem-solving skills to find alternative contact information for members who are unreachable by care management

Employ motivational interviewing techniques to maximize member engagement and promote lifestyle changes for optimal health

Adhere to case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies

Meet performance and productivity metrics, including call volume, successful member engagement, and compliance with state/federal regulatory requirements

Conduct oneself with integrity, professionalism, and self-direction

Demonstrate a willingness to learn about care management within Medicare and Medicaid managed care

Familiarity with community resources and services

Navigate various healthcare technology tools to enhance member care, streamline workflows, and maintain accurate records

Maintain strong collaborative and professional relationships with members and colleagues

Communicate effectively, both verbally and in writing

Exhibit excellent customer service and engagement skills

Qualification

Care CoordinationBehavioral Health ExperienceMicrosoft Office SuiteCase Management ExperienceManaged Care ExperienceCustomer Service SkillsMotivational InterviewingCommunication SkillsProblem-Solving SkillsCollaboration Skills

Required

2+ years in behavioral health, social services, or a related field relevant to the program focus

Proficient in Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams) and capable of utilizing these tools effectively in the CM Coordinator role

Access to a private, dedicated workspace to fulfill job requirements effectively

Candidate must reside in MST/PST state

High School Diploma with equivalent experience (REQUIRED)

Preferred

Case Management and Discharge Planning Experience

Managed Care Experience

Associate's or Bachelor's Degree or non-licensed master's level clinician in behavioral health or human services (psychology, social work, marriage and family therapy, counseling) or equivalent experience