Care Management Associate

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

📋 Description

• Conduct telephonic outreach to enroll eligible Medicaid members.

• Engage members utilizing compassionate and behavioral interviewing techniques.

• Provide direct outreach and engagement with members.

• Facilitate case assignment and connect identified members to care managers through warm transfers.

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

• Deliver comprehensive coordination of healthcare services.

• Answer phone calls, take messages, research information, and assist in resolving issues.

• Maintain accurate and complete documentation that meets risk management, regulatory, and accreditation standards.

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

• Support team members and enhance Hub efficiency, productivity, quality, and care management processes.

⛳️ Requirements

• Must be located in the Eastern Time Zone.

• Strong communication, telephonic, and organizational abilities.

• Capability to manage multiple priorities and adapt to changes.

• Competence in meeting daily metrics with speed, accuracy, and a positive demeanor.

• Excellent customer service skills.

• Attention to privacy, confidentiality, quality management processes, regulatory and accreditation guidelines, as well as company policies and procedures.

• Ability to complete detailed documentation in electronic member records.

• Capability to work independently and meet deliverables and deadlines.

• Effectiveness in participating in a multidisciplinary team.

• High School Diploma and relevant experience required.

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

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

• Experience with data entry and documentation within member records preferred.

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

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

• Strong organizational, verbal, and written communication skills.

• Bilingual (Spanish) preferred.

🏝️ 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.

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