Care Management Associate

This is a fully remote position, open to applicants in Kansas.

📋 Description

• Conduct telephonic outreach to enroll eligible Medicaid members.

• Engage members through compassionate communication and behavioral interviewing techniques.

• Provide direct outreach and engagement with members.

• Facilitate the assignment of cases.

• Connect identified members to care managers via warm transfers.

• Support the implementation of care plans and ensure effective utilization of healthcare services.

• Promote quality effectiveness.

• Answer phone calls, take messages, research information, and assist team members in problem-solving.

• Maintain accurate and complete documentation in electronic records.

• Adhere to policies, procedures, regulatory standards, risk management, and accreditation requirements.

• Safeguard member confidentiality.

⛳️ Requirements

• Strong communication, telephonic, and organizational skills.

• Capability to manage multiple priorities and adapt to changes.

• Ability to achieve daily metrics with both speed and accuracy.

• Excellent customer service skills.

• Knowledge of care management processes, privacy and confidentiality standards, quality management, regulatory and accreditation guidelines, and company policies and procedures.

• Proficiency in completing detailed documentation in electronic member records.

• Ability to work independently while meeting deliverables and deadlines.

• Capacity to effectively participate in a multidisciplinary team.

• High school diploma along with relevant experience.

• Preferred 2–4 years of experience in the healthcare field.

• Familiarity with Microsoft Word, Outlook, and Excel is preferred.

• Experience in data entry and documentation within member records is preferred.

• Basic knowledge of medical terminology and care management concepts is preferred.

• Flexibility to work occasional nights and weekends, with hours from 8:00 am to 8:00 pm.

• Strong verbal and written communication abilities.

• Bilingual in Spanish is preferred.

• Must reside in the Eastern Time Zone.

🏝️ Benefits

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting physical, emotional, and financial well-being.

• CVS Health bonus, commission, or short-term incentive program in addition to base pay.