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Care Management Associate
CVS Health Careers. Conduct telephonic outreach to and enroll eligible Medicaid members .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates effective communication and organizational skills while managing multiple priorities in a healthcare environment. Proficient in care management processes, documentation, and compliance with regulatory standards.
Highest-signal resume keywords
Effective Communication SkillsCustomer Service SkillsCare Management KnowledgeData Entry and DocumentationBilingual Spanish
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data EntryDocumentationCare Management ProcessesBasic Medical TerminologyQuality Management
Soft Skills
Organizational SkillsAdaptabilityTeam ParticipationProblem SolvingCaring Communication
Tools & Technologies
Microsoft WordMicrosoft OutlookMicrosoft ExcelElectronic Records
Industry Keywords
MedicaidRegulatory StandardsAccreditation RequirementsMember ConfidentialityHealthcare Experience
About the role
Key responsibilities & impact- Conduct telephonic outreach to and enroll eligible Medicaid members
- Engage members using caring communication and behavioral interviewing techniques
- Provide direct member outreach and engagement
- Facilitate case assignment
- Connect identified members to care managers through warm transfers
- Support implementation of care plans and effective utilization of healthcare services
- Promote quality effectiveness
- Answer telephone calls, take messages, research information, and help solve problems for team members
- Maintain accurate and complete documentation in electronic records
- Comply with policies, procedures, regulatory standards, risk-management, and accreditation requirements
- Protect member confidentiality
Requirements
What you’ll need- Effective communication, telephonic and organizational skills
- Ability to manage multiple priorities and adapt to change
- Ability to meet daily metrics with speed and accuracy
- Strong customer service skills
- Knowledge of care management processes, privacy and confidentiality, quality management, regulatory and accreditation guidelines, and company policies and procedures
- Ability to complete detailed documentation in electronic member records
- Ability to work independently and meet deliverables and deadlines
- Ability to participate effectively in a multidisciplinary team
- High school diploma plus experience
- 2–4 years of healthcare-field experience preferred
- Experience with Microsoft Word, Outlook, and Excel preferred
- Data entry and documentation within member records preferred
- Familiarity with basic medical terminology and care management concepts preferred
- Flexibility to work occasional nights and weekends, with hours spanning 8:00 am to 8:00 pm
- Strong verbal and written communication skills
- Bilingual Spanish preferred
- Must sit in the Eastern Time Zone
Benefits
Comp & perks- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being
- CVS Health bonus, commission or short-term incentive program in addition to base pay