Care Management Specialist

CVS Health

. Engage telephonically with members for 50–75% of the day and coordinate their care .

Posted 9/28/2026full-timeRemote • United StatesJuniorMid-Level💰 $21 - $41 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care management, including conducting Health Risk Assessments, developing individualized care plans, and collaborating with interdisciplinary teams. Proficient in utilizing healthcare technology and Microsoft Office tools to enhance operational efficiency and support high-quality care.

Highest-signal resume keywords

Care Management ExperienceHealth Risk AssessmentMicrosoft Office ProficiencyBilingual Skills (English-Spanish)Customer Service Excellence

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care ManagementHealth Risk AssessmentHealthcare Technology UtilizationCommunity Resource FamiliarityRegulatory ComplianceCare Plan DevelopmentDocumentation in Electronic Health RecordsOutreach CoordinationPreventive Care Gap ClosureSocial Determinants of Health

Soft Skills

Effective CommunicationCustomer EngagementTeam CollaborationMentoringOperational Efficiency

Tools & Technologies

Microsoft Office SuiteElectronic Health RecordsHealthcare Technology Tools

Certifications & Qualifications

Associate’s Degree in Health CarePractical Nurse Degree/Certificate with Active Licensure

Industry Keywords

Medicare Managed CareMedicaid Managed CareHealth Care ServicesCare CoordinationInterdisciplinary Care Team

About the role

Key responsibilities & impact

Engage telephonically with members for 50–75% of the day and coordinate their care
Conduct annual Health Risk Assessment Surveys
Address social determinants of health needs and close preventive and health maintenance care gaps
Conduct outreach to hard-to-reach members using available resources
Develop individualized care plans with members
Document care management activities in members’ electronic health records
Collaborate with the Interdisciplinary Care Team to address barriers to care
Identify and connect members with health plan benefits and community resources
Meet regulatory requirements within specified timelines
Consult with and leverage the Care Manager RN’s clinical expertise
Support team objectives, operational efficiency, high-quality care, special projects, process improvement, and mentoring

Requirements

What you’ll need

2+ years of experience in a health-related field
2+ years of customer service experience
Proficient in Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams)
Ability to effectively utilize Microsoft Office tools within the Care Manager Specialist role
Access to a private, dedicated space to conduct work effectively
Dependents must have separate care arrangements during work hours
Experience or willingness to thoroughly learn care management within Medicare and Medicaid managed care
Familiarity with community resources and services
Ability to navigate and utilize healthcare technology tools
Effective verbal and written communication
Excellent customer service and engagement skills
Associate’s Degree with relevant experience in a health care-related field OR Practical Nurse Degree/Certificate with active licensure that meets state requirements (REQUIRED)
Bachelor’s Degree in health care or a related field (PREFERRED)
Bilingual skills, especially English-Spanish (PREFERRED)

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