Care Coordinator (Remote)
Age BoldSalary not specified
Full Time
Entry Level & New Grad
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
- 2+ years of experience in a health-related field
- 2+ years of customer service experience
- Proficient in Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams) and ability to effectively utilize these tools within the CMS role
- Access to a private, dedicated space to conduct work effectively to meet the requirements of the position
Responsibilities
- Dedicate 50-75% of the day to telephonic engagement with members and coordinating their care
- Utilize all available resources to connect with and engage “hard-to-reach” members
- Partner with members to develop individualized care plans that encompass goals and interventions to meet their identified needs
- Maintain meticulous documentation of care management activities in the member’s electronic health record
- Work with the Interdisciplinary Care Team to address barriers to care and develop strategies for maintaining the member’s stable health condition
- Identify and connect members with health plan benefits and community resources
- Meet regulatory requirements within specified timelines
- Consult with the Care Manager RN within the Care Team for clinical knowledge, medication regimes, and supportive clinical decision making
- Collaborate and leverage the Care Manager RN clinical expertise to ensure members’ needs are adequately addressed
- Support team objectives, enhance operational efficiency, and ensure delivery of high-quality care to members (e.g., participating in special projects, contributing to process improvement initiatives, or assisting with mentoring new team members)
Skills
Key technologies and capabilities for this role
Questions & Answers
Common questions about this position
Is this Care Manager Specialist position remote?
Yes, the position is remote and based in Ohio.
What are the key responsibilities of the Care Manager Specialist?
Key responsibilities include telephonic engagement with members (50-75% of the day), member outreach to hard-to-reach individuals, developing individualized care plans, documentation in electronic health records, collaboration with the interdisciplinary care team, connecting members to resources, and ensuring regulatory compliance.
What skills or competencies are essential for this role?
Essential competencies include the ability to meet performance metrics like call volume and member engagement, professional conduct with integrity and self-direction, care management knowledge, and experience or willingness to learn the role.
Does this role involve teamwork, and with whom?
Yes, the role involves close collaboration with the Registered Nurse Care Manager, Care Coordinator, Social Worker, and other interdisciplinary care team participants, including consulting the Care Manager RN for clinical expertise.
What makes a strong candidate for the Care Manager Specialist position?
Strong candidates have experience or willingness to learn care management, can meet performance metrics like call volume and member engagement, demonstrate integrity and professionalism, and are passionate about transforming health care while supporting team objectives.
CVS Health
Comprehensive pharmacy and healthcare services
About CVS Health
CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.
Woonsocket, Rhode IslandHeadquarters
1963Year Founded
DEBTCompany Stage
Healthcare, Consumer GoodsIndustries
10,001+Employees
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Disability Insurance
401(k) Retirement Plan
Company Equity
Wellness Program
Professional Development Budget
Paid Vacation
Paid Holidays
Risks
Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.
The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.
The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.
Differentiation
CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.
The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.
CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.
Upsides
Expansion of telehealth services allows CVS to reach more patients remotely.
Increased consumer interest in wellness boosts demand for CVS's health-related products.
The trend towards value-based care aligns with CVS's integrated healthcare approach.
Related Jobs
RemoteRemoteTransitions of Care RN Case Manager
Devoted HealthSalary not specified
- Full Time
- Mid-level (3 to 4 years)
RemoteCare Manager, Telephonic Nurse 2
HumanaSalary not specified
- Full Time
- Mid-level (3 to 4 years)
RemoteDirector, Member Engagement
Imagine PediatricsSalary not specified
- Full Time
- Senior (5 to 8 years), Expert & Leadership (9+ years)
RemoteHealth Navigator
Centivo$55,000 - $60,000/year
- Full Time
- Entry Level & New Grad, Junior (1 to 2 years)
RemoteGM, Population Health
Covera HealthSalary not specified
- Full Time
- Expert & Leadership (9+ years)
RemoteRN Care Manager - Remote, nationwide
HumanaSalary not specified
- Full Time
- Mid-level (3 to 4 years), Senior (5 to 8 years)