[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.

The Engagement Outreach Hub Care Management Associate supports comprehensive coordination of healthcare services through telephonic outreach to and enrollment of our eligible members. Our Engagement Care Management Associates demonstrate a highly energetic blend of:

• Salesperson
• Healthcare navigator
• Health plan customer support representative

The Associate is responsible for:

• Direct member outreach and engagement
• Facilitating case assignment
• Connecting identified members to care managers immediately through a warm transfer

By successfully enrolling members into care management, further supports the implementation of care plans to promote effective utilization of healthcare services, promoting and supporting quality effectiveness.

Provides support services to team members by:

• Answering telephone calls
• Taking messages
• Researching information
• Assisting in solving problems

Adheres to compliance with policies and procedure/regulatory standards and maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements. Protects the confidentiality of member information and adheres 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 medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources, based on eligibility

Company Description

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.