Care Management Associate

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

📋 Description

• Perform telephonic outreach to enroll eligible Medicaid members.

• Utilize compassionate and behavioral interviewing techniques to engage members.

• Conduct direct outreach and engagement with members.

• Manage case assignments effectively.

• Facilitate warm transfers to connect identified members with care managers.

• Assist in the implementation of care plans.

• Encourage the effective use of healthcare services and promote quality effectiveness.

• Handle incoming telephone calls and record messages accurately.

• Research information and aid in problem-solving efforts.

• Ensure complete and accurate documentation that complies with risk management and regulatory standards.

• Safeguard the confidentiality of member information and adhere to company policies.

⛳️ Requirements

• Strong communication, telephonic, and organizational skills.

• Ability to juggle multiple priorities and adapt to changes swiftly.

• Capability to achieve daily metrics with efficiency and precision.

• Excellent customer service skills.

• Familiarity with care management processes, privacy concerns, quality management, regulatory and accreditation guidelines, as well as company policies and procedures.

• Proficient in accurate and thorough electronic documentation of member interactions.

• Ability to work independently and fulfill deliverables and deadlines.

• Competence in effectively participating within a multidisciplinary team.

• High School Diploma and relevant experience required.

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

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

• Prior data entry and documentation experience within member records is preferred.

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

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

• Preferred strong verbal and written communication abilities.

• Bilingual Spanish skills are preferred.

🏝️ Benefits

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

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

• Eligibility for CVS Health bonus, commission, or short-term incentive programs.