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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 strong communication and organizational skills while effectively engaging Medicaid members through telephonic outreach and behavioral interviewing techniques. Maintains compliance with regulatory standards and ensures accurate documentation to support healthcare service coordination.
Highest-signal resume keywords
Telephonic OutreachBehavioral Interviewing TechniquesDocumentation SkillsCustomer Service SkillsRegulatory Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Soft Skills
Strong CommunicationOrganizational SkillsAttention to DetailAbility to Manage Multiple PrioritiesMember-Focused Approach
Certifications & Qualifications
HS DiplomaGED Equivalent
Industry Keywords
MedicaidHealthcare ServicesCare CoordinationCase AssignmentRisk ManagementAccreditation Requirements
About the role
Key responsibilities & impact- Conduct telephonic outreach to and enroll eligible Medicaid members
- Support comprehensive coordination of healthcare services
- Engage members using caring and behavioral interviewing techniques
- Conduct direct member outreach and engagement
- Facilitate case assignment and connect identified members to care managers through warm transfers
- Support implementation of care plans to promote effective utilization of healthcare services
- Provide support to team members by answering telephone calls, taking messages, researching information, and assisting in solving problems
- Comply with policies, procedures, and regulatory standards
- Maintain accurate and complete documentation meeting risk management, regulatory, and accreditation requirements
- Protect the confidentiality of member information
Requirements
What you’ll need- Strong communication, organizational, and customer service skills
- Ability to manage multiple priorities and adapt to change
- Ability to consistently meet productivity and quality metrics with accuracy and a positive attitude
- Strong attention to detail and documentation skills
- Ability to work independently while collaborating effectively with team members
- Professional, enthusiastic, and member-focused approach to outreach
- HS Diploma or GED equivalent
- Monday through Friday availability, 8am-5pm Central Time Zone
- 40 hours per week
Benefits
Comp & perks- CVS Health bonus, commission or short-term incentive program in addition to base pay
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being, based on eligibility