Role Overview
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.
About Cvs health
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.
Key Responsibilities
- Dedicate 50-75% of the day to engaging with members and coordinating their care.
- Utilize all available resources to connect with and engage “hard-to-reach” members.
- Partner with members to develop individualized care plans that encompass goals and interventions to meet their identified needs.
- Maintain meticulous documentation of care management activities in the member’s electronic health record.
- Work with the Interdisciplinary Care Team to address barriers to care and develop strategies for maintaining the member’s stable health condition.
- Identify and connect members with health plan benefits and community resources.
- Meet regulatory requirements within specified timelines.
Requirements & Eligibility
- 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)
- Access to a private, dedicated space to conduct work effectively to meet the requirements of the position
- Associate’s Degree AND relevant experience in a health care-related field
Required Skills & Tech
Microsoft OfficeWordExcelOutlookOneNoteTeamsCare ManagementCustomer Service