Care Management Associate

This is a fully remote position, open to applicants in Kentucky, +3 more states.

📋 Description

• Collaborate with care coordinators, managers, community members, referral sources, children services, young adults, guardians, family members, case managers, and behavioral health providers.

• Deliver front-desk, administrative, and operational assistance to the Care Coordination department.

• Oversee the inbound care management queue line.

• Address questions and inquiries from members, guardians, and those assisting with services.

• Process OhioRISE referrals, verify Medicaid eligibility, and manage referrals.

• Conduct Health Risk Assessments for assigned members.

• Assist with administrative tasks in complex data systems, an electronic record system, and/or Excel.

• Balance competing priorities while ensuring accuracy in a dynamic environment.

• Adjust to evolving operational needs, program priorities, processes, and guidelines.

• Maintain effective communication and collaboration with team members and leadership.

• Provide support to vulnerable populations and families navigating complex systems, balancing compassion, efficiency, and professionalism.

⛳️ Requirements

• Residency in Ohio, Kentucky, West Virginia, or Louisiana is required.

• Recent experience with other Managed Care Organizations (MCOs); experience can also include recent employment with healthcare organizations or companies.

• Must successfully pass the CANS assessment and achieve certification within 90 days of employment.

• Strong critical and quick thinking skills are essential.

• Attention to detail for manual data entry is necessary.

• Capability to manage escalated calls effectively.

• Strong problem-solving abilities in high-pressure situations.

• Ability to multitask across multiple systems simultaneously.

• Proactive in taking initiative and responsibility for personal learning.

• Skill in contributing to a positive work environment is important.

• Ability to independently organize time and manage assigned tasks.

• A high school diploma, GED, or equivalent experience is required.

• Must uphold confidentiality and adhere to HIPAA and organizational privacy standards.

• A private, distraction-free workspace is mandatory.

• An independent internet connection must be secured.

🏝️ Benefits

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

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

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

• Work equipment will be provided prior to the first day.

• No mandatory holidays or weekends.