Care Management Associate

CVS Health Careers

. Manage enrollment for Children’s Specialty program, including foster, child and family welfare populations .

Posted 11/2/2026full-timeRemote • United StatesJuniorMid-Level💰 $19 - $35 per hourWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in managing enrollment for Children's Specialty programs and coordinating healthcare services while ensuring compliance with regulatory requirements. Proficient in utilizing Aetna systems and MS Office Suite to maintain accurate documentation and support effective communication with healthcare providers.

Highest-signal resume keywords

Healthcare ExperienceEnrollment ManagementEffective CommunicationCustomer Service SkillsCANS Certification

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Member ReviewWellness Plans DevelopmentHealth Questionnaires AdministrationReferral CoordinationDocumentation AccuracyMulti-System NavigationMS Office Suite ProficiencyTelephonic SkillsMotivational InterviewingCall Center Experience

Soft Skills

Organizational SkillsProblem SolvingAdaptabilityTeam SupportPrioritization

Tools & Technologies

Aetna SystemsMS TeamsMS OutlookMS WordMS Excel

Certifications & Qualifications

CANS Certification

Industry Keywords

Foster CareChild WelfareManaged CareHealthcare ServicesCommunity Resources

About the role

Key responsibilities & impact

Manage enrollment for Children’s Specialty program, including foster, child and family welfare populations
Carry and manage a low-tier member caseload
Perform initial member review and triage
Develop Wellness Plans and provide community resources
Review gaps in care and administer health questionnaires
Complete outbound calls to identify and engage community resources
Screen members to identify needed medical services and make referrals
Coordinate required healthcare services under nurse or medical director direction
Identify triggers for referral to Case Management, Disease Management, Mixed Services, and Specialty Programs
Use Aetna systems to build, research, and enter member information
Promote effective utilization and quality of healthcare services
Coordinate communication with healthcare providers and health team members
Conduct non-medical research for case establishment, maintenance, and closure
Provide team support by answering calls, researching information, and solving problems
Maintain accurate documentation meeting regulatory, risk management, and accreditation requirements
Protect member confidentiality
Assist with research and resolution of claims payment issues
Complete detailed electronic documentation after each member call
Meet daily metrics, deliverables, and deadlines
Participate in multidisciplinary teams
Conduct persistent outreach and promote active member connection

Requirements

What you’ll need

Must reside in Ohio, West Virginia, Kentucky, or Louisiana
2–4 years’ experience in healthcare or working with foster, child and family welfare populations
Effective communication, telephonic, and organizational skills
Ability to manage multiple priorities and adapt to change
Strong customer service skills
2+ years’ proficiency with personal computers, keyboard, multi-system navigation, and MS Office Suite applications including Teams, Outlook, Word, and Excel
Some in-state travel (5–10%) may be required
Reliable transportation and willingness to travel
Must pass CANS certification exam within the first 3 months of employment
High school diploma or G.E.D.
Motivational interviewing skills preferred
Call Center experience preferred
Managed Care experience 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
Flexible work schedule may be available after 6 months of service with demonstrated performance and attendance
Mileage reimbursement according to company expense reimbursement policy
CVS Health bonus, commission or short-term incentive program in addition to base pay range