CVS Health · 2 days ago
Care Management Coordinator
United States
Full-time
Remote
Entry, Mid Level
$21.10/hr - $36.78/hr
2+ years expCVS Health is dedicated to building a world of health around every individual, focusing on a connected and compassionate health experience. They are seeking a Care Management Coordinator to join their Aetna care management team, responsible for coordinating care for dual eligible populations and collaborating with various stakeholders to meet member needs. The role involves evaluating member needs, addressing social determinants of health, and ensuring quality care through effective coordination.
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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
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 (PREFERRED)
Benefits
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings
Tobacco cessation and weight management programs
Confidential counseling and financial coaching
Benefit solutions that address the different needs and preferences of our colleagues including paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access and many other benefits depending on eligibility.
Company
CVS Health
CVS Health is a health solutions company that provides an integrated healthcare services to its members.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$4BKey Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity
Leadership Team
David Joyner
President and Chief Executive Officer, CVS Health
Chandra McMahon
SVP & CISO
Recent News
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