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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.
Position Summary
The Care Management Associate (CMA) is part of a team of clinical and service professionals empowered to take care of all aspects of a member's maternity journey. This position supports the maternity program including reviewing benefits/eligibility, setting up member case, initial enrollment survey, scheduling appts and supporting the maternity Case Manager.
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The Care Management Associate position duties:
-Responsible for initial review and triage of member identification tasks, research cases and make appropriate outbound and receives inbound queue calls to the program. The care management associate is responsible to introduce the program benefit and completes the initial enrollment survey with the member. -Utilizes Aetna systems to build, research and enter member information, as needed. - reviews enrollment survey results and assigns appropriate enrolled member cases to case managers. Performs non-medical research pertinent to the establishment, maintenance, and closure of open cases -Provides support services to team members by answering telephone calls, taking messages, researching information, and assisting in solving problems.
-Adheres to compliance with policies and regulatory standards. -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.
Required Qualifications
Key Qualifications:
-Demonstrates highly developed communication and people skills. Ability to engage and interact easily with diverse group of individuals. Strong listener, empathetic and supporting.
-Ability to prioritize and multitask in fast paced, deadline driven environment.
-Ability to adapt to constantly changing demands and environment.
-Demonstrates a commitment to service, accountable for actions and issues resolution, responsive to customer needs.
. -Demonstrates strong problem-solving skills and ability to work independently.
-Requires proficiency with computer skills including keyboarding, navigating multiple systems.
-Proficiency in use of Microsoft Outlook and Office.
-Must be able to work in private at home office with extended periods of time sitting, talking on telephone, and typing on computer.
Required Qualifications:
-Experience with computers including knowledge of Microsoft Word, Outlook, and Excel
-Experience being able to independently navigate the computer while talking to a member on the telephone at the same time for their entire shift.
Preferred Qualifications
Effective communication, telephonic and organization skills.
-Familiarity with basic medical terminology and concepts used in care management.
-Strong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification, and resolution of issues to promote positive outcomes for members.
-Computer literacy to navigate through computer systems, including Excel and Microsoft Word.
- Experience inpatient or outpatient with women's health, maternity and/or OB-GYN office setting.
-Data entry and documentation within member records
- Experience in customer service or as a medical assistant in a hospital or office setting.
- Call center experience
-Previous telephonic outreach experience or interactions with patients
- Familiarity with basic medical terminology
-Strong telephonic communication skills
- Strong organizational skills, including effective verbal and written communications skills
Education
High School diploma or equivalent
Pay Range
The typical pay range for this role is:
$18.50 - $35.29
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: 03/12/2024
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.