Care Management Associate

CVS Health Careers

. Conduct telephonic outreach to and enroll eligible Medicaid members .

Posted 11/9/2026full-timeRemote • Louisiana • United StatesJuniorMid-Level💰 $19 - $42 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in telephonic outreach and member engagement, ensuring compliance with regulatory and accreditation standards while maintaining confidentiality. Proficient in care management processes and effective communication, with a strong focus on customer service and accurate documentation.

Highest-signal resume keywords

Telephonic OutreachCare Management ProcessesEffective CommunicationCustomer Service SkillsElectronic Documentation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data EntryDocumentationBasic Medical TerminologyCare Management Concepts

Soft Skills

Organizational SkillsAbility to Manage Multiple PrioritiesAdaptability to ChangeTeam Participation

Tools & Technologies

Microsoft WordMicrosoft OutlookMicrosoft Excel

Industry Keywords

MedicaidQuality ManagementRegulatory GuidelinesAccreditation RequirementsMember Information Confidentiality

About the role

Key responsibilities & impact

Conduct telephonic outreach to and enroll eligible Medicaid members
Engage members using caring 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
Promote effective utilization of healthcare services and quality effectiveness
Answer telephone calls and take messages
Research information and assist in solving problems
Maintain accurate and complete documentation meeting risk management, regulatory, and accreditation requirements
Protect member information confidentiality and follow company policies

Requirements

What you’ll need

Effective communication, telephonic and organization 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
Accurate and complete electronic documentation of member calls
Ability to work independently and meet deliverables and deadlines
Ability to participate effectively in a multi-disciplinary team
High School Diploma plus experience
2–4 years’ experience in healthcare field 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 business hours spanning 8:00 am to 8:00 pm
Strong verbal and written communication skills preferred
Bilingual Spanish preferred

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 eligibility