Care Management Associate – Medicare Precertification, Home Care Team

CVS Health

. Review and triage provider requests and member cases .

Posted 10/7/2026full-timeRemote • Pennsylvania • United StatesJuniorMid-Level💰 $19 - $42 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates proficiency in healthcare concepts and medical terminology while providing exceptional customer service and administrative support. Capable of effectively collaborating with multidisciplinary teams to ensure quality care outcomes and compliance with regulatory standards.

Highest-signal resume keywords

Call Center ExperienceCustomer Service SkillsMicrosoft Office ProficiencyOrganizational AbilitiesProblem-Solving Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Basic Medical TerminologyHealthcare ConceptsDocumentation Maintenance

Soft Skills

Communication SkillsCollaboration Skills

Tools & Technologies

Microsoft WordMicrosoft Excel

Certifications & Qualifications

High School Diploma

Industry Keywords

Member OutreachHome Care ServicesRegulatory ComplianceQuality Care Outcomes

About the role

Key responsibilities & impact

Review and triage provider requests and member cases
Conduct member outreach to confirm delivery of expected home care services and adequate member support
Escalate identified concerns to clinicians for follow-up and intervention
Communicate with healthcare providers, members, and internal teams to support quality care outcomes
Research and resolve case-related issues while ensuring compliance with regulatory and company standards
Maintain accurate documentation
Provide administrative and customer support for operations
Support members’ transition from acute/post-acute care to the home setting alongside nurses, medical directors, providers, and care teams

Requirements

What you’ll need

Knowledge of basic medical terminology and healthcare concepts
Strong customer service and communication skills, including telephone support
Call Center experience is required
Excellent organizational and problem-solving abilities
Proficiency with Microsoft Office applications, including Word and Excel
Ability to work effectively in a collaborative, multidisciplinary environment
High School Diploma required
Ability to work Monday–Friday, 8:30 am to 5:00 pm Eastern Time Zone

Benefits

Comp & perks

Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting colleagues’ physical, emotional, and financial well-being
CVS Health bonus, commission or short-term incentive program in addition to base pay