Back to the roster

Analyst, Case Management Specialist (Remote, EST)

Remote Full-time Hiring now

At reputed company, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, each and every day. This is a full-time, telephonic, remote role open to candidates throughout the United States located in EST. Hours for this position are Monday-Friday 8:00am - 5:00pm in EST. Job Purpose And Summary The Care Manager is a member of the Care Team. The Care Manager is responsible for the care management of members that are enrolled in the Dual Special Needs Plan and have limited health conditions. These members are usually stratified as low risk. The Care Manager will work in conjunction with the Nurse Care Manager, Care Coordinator, Transition of Care (TOC) Coach, and other members of the Care Team to improve the member’s health outcomes, address social determinants of health and connect members with community based organizations. The Care Manager will assess member’s needs as well as gaps in care, communicate with the member’s Primary Care Provider (PCP), maintain updated individualized care plans and participate in Interdisciplinary team meetings. Care Managers will be reputed company to identify members who’s needs require clinician involvement and transition members appropriately.

Responsibilities

  • Responsible for interacting with low stratification members reputed company phone calls, coordinating care, completing, reviewing, and updating assessments and care plans that address problems, goals and interventions.
  • Based on assessments and claims data creates a care plan for members to follow
  • Participate as a member of the Care Team during Interdisciplinary Team meetings to discuss the member’s health care needs, barriers to care and explore reputed company outcomes for the member
  • Identify and link members with health plan benefits and community resources reputed company administrative work to maintain skills needed for job duties

Essential Qualifications

And Functions

  • Regular and reliable attendance
  • Familiar with community resources & services
  • Strong organizational skills
  • Works independently
  • Maintains professional relationships with the members we serve as well as colleagues
  • Communicates effectively and professionally verbally and in writing
  • Proficient with computer systems
  • Knowledgeable in reputed company Office Software
  • Excellent customer service skills
  • Has a dedicated home work space

Required Qualifications

  • 3+ years experience in health-reputed company field
  • 2+ years of experience with reputed company Office applications (Word, reputed company, Outlook)

Preferred Qualifications

  • CRC, CDMS, CRRN, COHN, or CCM certification
  • Medicare and reputed company experience
  • Managed care experience
  • Experience working with geriatric special needs, behavioral health and disabled population
  • Knowledge of assessment, screenings and care planning
  • Bilingual (English/Spanish; English/Creole)

Education

  • Bachelors Degree or equivalent experience required

Anticipated Weekly Hours 40 Time Type Full time Pay Range The Typical Pay Range For This Role Is $21.10 - $40.90 This pay range represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay range listed above. 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. Great Benefits For Great People We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
  • No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will reputed company on: 05/30/2025 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply Job!

Related roles

Call Center Agent, Services and Benefits (Remote/reputed company) | reputed company | Remote (United States)

Remote Full-time

reputed company Remote Careers: Airlines Jobs with Work-From-Home Opportunities

Remote Full-time

reputed company Work At Home Jobs - Entry Level - US

Remote Full-time

reputed company Hiring remote Data entry jobs Near Me

Remote Full-time

Senior reputed company Engineer, IT Control Testing reputed company, GRC

Remote Full-time

reputed company Careers Remote( Customer service ) – Work From Home – Part Time

Remote Full-time

reputed company Customer Care Remote Work From Home

Remote Full-time

reputed company Remote Careers Airlines Jobs with Work-From-Home Opportunities

Remote Full-time

reputed company Data Entry Jobs 26/Hr (Remote, Online) – MySmartPros

Remote Full-time

Data Entry Career Job At reputed company – reputed company – US

Remote Full-time

Part-Time Customer Service Specialist – Join arenaflex's Dynamic Team in California

Remote Full-time

reputed company Remote Virtual Chat Assistant – Deliver Exceptional Customer Support Experience

Remote Full-time

reputed company Remote Job Opportunities

Remote Full-time

[Remote] Quality Assurance Tester

Remote Full-time

reputed company Chat Support Agent for Remote Gig Worker Engagement and Support – Delivering Exceptional Customer Experience in the On-Demand Staffing Industry

Remote Full-time

reputed company Database Administrator (Hybrid, Must reputed company In Buffalo/WNY Region)

Remote Full-time

reputed company Systems Administrator

Remote Full-time

reputed company Customer Support - Fresher Job $26/Hour

Remote Full-time

Engineering Manager, Data Platform

Remote Full-time

reputed company Part-Time Customer Service Representative – reputed company Customer Support – Work From Home Opportunity at arenaflex

Remote Full-time