Case Management Analyst - Specialist
Company: CVS Health
Location: Charleston
Posted on: April 24, 2024
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Job Description:
Bring your heart to CVS Health. Every one of us at CVS Health
shares a single, clear purpose: Bringing our heart to every moment
of your health. This purpose guides our commitment to deliver
enhanced human-centric health care for a rapidly changing world.
Anchored in our brand - with heart at its center - our purpose
sends a personal message that how we deliver our services is just
as important as what we deliver. Our Heart At Work Behaviors---
support this purpose. We want everyone who works at CVS Health to
feel empowered by the role they play in transforming our culture
and accelerating our ability to innovate and deliver solutions to
make health care more personal, convenient and affordable.
This is a full-time remote role open to candidates throughout the
United States located in EST.
Hours for this position are Monday-Friday 8:00am - 5:00pm in time
zone of residence.
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 able to identify members who's needs require clinician
involvement and transition members appropriately.
Responsibilities:
Responsible for interacting with low stratification members via
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 better outcomes for the member
Identify and link members with health plan benefits and community
resources Perform 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 Microsoft Office Software
Excellent customer service skills
Has a dedicated home work space
Required Qualifications:
Preferred Qualifications:
CRC, CDMS, CRRN, COHN, or CCM certification
Medicare and Medicaid experience
Managed care experience
Experience working with geriatric special needs, behavioral health
and disable population
Knowledge of assessment, screenings and care planning
Bilingual (English/Spanish; English/Creole)
Education:
Pay Range
The typical pay range for this role is:
$19.52 - $36.78
This pay range represents the base hourly rate or base annual
full-time salary for all positions in the job grade within which
this position falls. The actual base salary offer will depend on a
variety of factors including experience, education, geography and
other relevant factors. This position is eligible for a CVS Health
bonus, commission or short-term incentive program in addition to
the base pay range listed above. In addition to your compensation,
enjoy the rewards of an organization that puts our heart into
caring for our colleagues and our communities. The Company offers a
full range of medical, dental, and vision benefits. Eligible
employees may enroll in the Company's 401(k) retirement savings
plan, and an Employee Stock Purchase Plan is also available for
eligible employees. The Company provides a fully-paid term life
insurance plan to eligible employees, and short-term and long term
disability benefits. CVS Health also offers numerous well-being
programs, education assistance, free development courses, a CVS
store discount, and discount programs with participating partners.
As for time off, Company employees enjoy Paid Time Off ("PTO") or
vacation pay, as well as paid holidays throughout the calendar
year. Number of paid holidays, sick time and other time off are
provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit
jobs.CVSHealth.com/benefits
We anticipate the application window for this opening will close
on: 04/08/2024
CVS Health requires certain colleagues to be fully vaccinated
against COVID-19 (including any booster shots if required), where
allowable under the law, unless they are approved for a reasonable
accommodation based on disability, medical condition, religious
belief, or other legally recognized reasons that prevents them from
being vaccinated.
You are required to have received at least one COVID-19 shot prior
to your first day of employment and to provide proof of your
vaccination status or apply for a reasonable accommodation within
the first 10 days of your employment. Please note that in some
states and roles, you may be required to provide proof of full
vaccination or an approved reasonable accommodation before you can
begin to actively work.
CVS Health is committed to recruiting, hiring, developing,
advancing, and retaining individuals with disabilities. As such, we
strive to provide equal access to the benefits and privileges of
employment, including the provision of a reasonable accommodation
to perform essential job functions. CVS Health can provide a
request for a reasonable accommodation, including a qualified
interpreter, written information in other formats, translation or
other services through ColleagueRelations@CVSHealth.com If you have
a speech or hearing disability, please call 7-1-1 to utilize
Telecommunications Relay Services (TRS). We will make every effort
to respond to your request within 48 business hours and do
everything we can to work towards a solution.
Keywords: CVS Health, Charleston , Case Management Analyst - Specialist, Executive , Charleston, West Virginia
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