Case Management Specialist

4 days ago

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CVS Health

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Retail • Pharmacy Benefits Management • Health Insurance • Health Care • Pharmacy

10,000+

Description

• Responsible for care management of low stratification members enrolled in the Dual Special Needs Plan. • Work with Care Team including Nurse Care Manager and Care Coordinator to improve member’s health outcomes. • Assess members’ needs and maintain updated individualized care plans. • Participate in Interdisciplinary team meetings. • Identify and link members with health plan benefits and community resources. • Perform administrative work to maintain necessary skills.

Requirements

• 3+ years’ experience in health-related field. • 2+ years of customer service experience. • 2+ years of experience with claims. • Master’s degree preferred. • CRC, CDMS, CRRN, COHN, or CCM certification. • Medicare and Medicaid experience. • Managed care experience. • Experience working with geriatric special needs, behavioral health, and disabled populations. • Knowledge of assessment, screenings, and care planning. • Bilingual (English/Spanish; English/Creole) preferred.

Benefits

• Full range of medical, dental, and vision benefits. • Eligible employees may enroll in the Company’s 401(k) retirement savings plan. • Employee Stock Purchase Plan is available for eligible employees. • Fully-paid term life insurance plan to eligible employees. • Short-term and long term disability benefits. • Numerous well-being programs, education assistance, free development courses. • CVS store discount and discount programs with participating partners. • Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the year.