# Care Management Associate

**Company**: CVS Health
**Location**: Work from home, TX
**Work arrangement**: remote
**Job type**: full-time
**Salary**: $18.50 - $35.29
**Category**: Healthcare
**Industry**: Healthcare

**Apply**: https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/TX---Work-from-home/Care-Management-Associate_R1070841?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_840f2692-0b6

## Description

We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.

The Care Management Associate (CMA) supports comprehensive coordination of medical services that include intake and outgoing calls for medical services.

**Responsibilities**

- Evaluates patients using targeted intervention business rules and processes to identify needed medical services, make appropriate referrals to medical services staff, and coordinate the required services by the benefit plan.

- Communicates health care service delivery as required based on outcomes/reviews noted by the nurse or medical director.

- Performs non-medical research pertinent to the establishment, maintenance, and closure of open cases.

- Provides support services to team members by answering telephone calls from providers and members, taking accurate messages, supporting electronic transmission review and referrals as appropriate.

- Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements.

- Ensures communication, both internally and externally, to enhance the effectiveness of medical management services.

- Assist in obtaining discharge dates and making appropriate referrals to clinical team for their engagement in additional follow up as needed.

- Completes work independently on occasion while executing good judgment and critical thinking skills while adhering to Department guidelines, policies, and procedures.

- Operates with a sense of urgency and flexibility to meet the needs of a rapidly changing environment, while meeting performance standards set for quality and quantity of work.

**Requirements**

- 2 years’ experience as a medical assistant, office assistant or related experience.

- Minimum of 6 months of call center experience required.

- High School Diploma or equivalent GED.

**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 Internal/external computer systems, including Excel and Microsoft Word.

**Benefits**

- Medical, dental, and vision coverage.

- Paid time off.

- Retirement savings options.

- Wellness programs.

**Pay Range**

$18.50 - $35.29

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## Skills

### Required
- medical terminology
- customer service
- communication skills
- organizational skills
- Microsoft Office

### Nice to have
- basic medical terminology
- care management
- computer literacy

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Source: [Apply at cvshealth.wd1.myworkdayjobs.com](https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/TX---Work-from-home/Care-Management-Associate_R1070841?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)