Case Management Specialist

3 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 members enrolled in the Dual Special Needs Plan. • Interact with low stratification members via phone calls. • Create and maintain individualized care plans. • Participate in Interdisciplinary Team meetings. • Identify and link members with health plan benefits and resources. • Maintain skills needed for job duties.

Requirements

• 3+ years experience in health-related field. • 2+ years of experience with Microsoft Office applications. • Must be willing to work Mon-Fri, 8 AM - 5 PM EST. • CRC, CDMS, CRRN, COHN, or CCM certification preferred. • Medicare and Medicaid experience. • Managed care experience.

Benefits

• Full range of medical, dental, and vision benefits. • 401(k) retirement savings plan. • Employee Stock Purchase Plan available. • Fully-paid term life insurance. • Short-term and long term disability benefits. • Paid Time Off (PTO) or vacation pay. • Paid holidays.