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Care Management Associate

Care Management Associate

CompanyCVS Health
LocationOhio, USA
Salary$18.5 – $31.72
TypeFull-Time
DegreesAssociate’s
Experience LevelMid Level, Senior

Requirements

  • Recent experience working for other MCOs, specifically within the last 5-7 years in the state of Ohio.
  • Experience may be replaced with recent employment with healthcare organizations or companies.
  • Must be able to pass and obtain CANS assessments certification within 90 days of employment.
  • Ability to handle escalated calls.
  • Problem solving skills in stressful situations.
  • Ability to multitask in multiple systems at one time.
  • Ability to take initiative in own learning.
  • Ability to articulate how you contribute to a positive work environment.

Responsibilities

  • Work on an inbound care management queue line, responding to questions and inquiries from both members/guardians or parties assisting with services.
  • Take referrals for OhioRISE, confirming Medicaid eligibility and processing the referral.
  • Complete Health Risk Assessments for all members assigned.
  • Practice a high level of professionalism and compassion at all times when interacting with various departments or member representatives.
  • Support administrative needs that involve comfortability with working in complex data systems, an Electronic Record System and/or Excel.

Preferred Qualifications

  • Associates degree, or other specialized health care certifications or training.
  • Desire and interest in helping individuals with behavioral health care needs.