[Hiring] Care Management Associate Engagement Hub @CVS Health

Role Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Aetna’s Medicaid Care Management Engagement Outreach Hub is a new initiative focused on prioritizing Medicaid member interaction, maximizing inbound and outbound touchpoints to solve members’ needs and create behavioral change. This is achieved through a dedicated and caring team of health care professionals who connect with passion, caring and behavioral interviewing techniques. This team has a drive to exceed the delivery of Medicaid Health care services.

The Engagement Outreach Hub Care Management Associate supports comprehensive coordination of healthcare services through telephonic outreach to and enrollment of our eligible members. Responsibilities include:

• Direct member outreach and engagement.
• Facilitating case assignment.
• Connecting identified members to care managers immediately through a warm transfer.
• Enrolling members into care management to support the implementation of care plans.
• Promoting effective utilization of healthcare services and supporting quality effectiveness.

Additional duties include:

• Providing support services to team members by answering telephone calls, taking messages, researching information, and assisting in solving problems.
• Adhering to compliance with policies and procedure/regulatory standards.
• Maintaining accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements.
• Protecting the confidentiality of member information and adhering to company policies regarding confidentiality.

Qualifications

• Strong communication, organizational, and customer service skills.
• Ability to manage multiple priorities and adapt to change.
• Consistently meet productivity and quality metrics with accuracy and a positive attitude.
• Strong attention to detail and documentation skills.
• Ability to work independently while collaborating effectively with team members.
• Professional, enthusiastic, and member-focused approach to outreach.

Requirements

• 2 to 4 years of healthcare experience (medical office, hospital, billing/coding, etc.).
• Proficiency in Microsoft Word, Outlook, and Excel.
• Familiarity with medical terminology and care management concepts.
• Flexibility to work occasional evenings or weekends.
• Strong verbal and written communication skills.
• Bilingual Spanish preferred.

Benefits

• Comprehensive and competitive mix of pay and benefits.
• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs and other resources, based on eligibility.