Care Management Specialist

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.

As an essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the care of our members, particularly those with social determinants of health (SDoH) needs and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager, Care Coordinator, Social Worker, and other interdisciplinary care team participants to support the member in maintaining optimal health. This is achieved by evaluating the members’ needs through the completion of the annual Health Risk Assessment Survey, addressing SDoH needs, and closing gaps in preventative and health maintenance care.

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• Access to a private, dedicated space to conduct work effectively to meet the requirements of the position

• Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted

• 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 Care Manager Specialist role

• Access to a private, dedicated space to conduct work effectively to meet the requirements of the position

• Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted

• Experience providing care management for Medicare and/or Medicaid members

• Experience working with individuals with SDoH needs, chronic medical conditions, and/or behavioral health

• Experience conducting health-related assessments and facilitating the care planning processes

• Bilingual skills, especially English-Spanish

• Associate’s Degree with relevant experience in a health care-related field OR Practical Nurse Degree/Certificate with active licensure that meets state requirements (REQUIRED)

• Bachelor’s Degree in health care or a related field (PREFERRED)

The typical pay range for this role is:

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. 
 

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.