Care Management Specialist

CVS Health

. Engage telephonically with members for 50–75% of the workday 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 addressing social determinants of health. Proficient in utilizing healthcare technology and Microsoft Office tools to enhance member engagement and operational efficiency.

Highest-signal resume keywords

Care Management ExperienceHealth Risk AssessmentMicrosoft Office ProficiencyBilingual Skills (English-Spanish)Experience with Medicare and Medicaid

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Health Risk AssessmentCare ManagementChronic Condition ManagementBehavioral Health KnowledgeHealth Care Technology UtilizationDocumentation in Electronic Health RecordsIndividualized Care PlanningSocial Determinants of Health (SDoH)Customer ServiceHealth Care Regulations

Soft Skills

Effective CommunicationTeam CollaborationMentoringEngagement SkillsProblem Solving

Tools & Technologies

Microsoft WordMicrosoft ExcelMicrosoft OutlookMicrosoft OneNoteMicrosoft Teams

Certifications & Qualifications

Associate’s Degree in Health CarePractical Nurse Degree/Certificate

Industry Keywords

MedicareMedicaidCare CoordinationCommunity ResourcesHealth Maintenance Care

About the role

Key responsibilities & impact

Engage telephonically with members for 50–75% of the workday and coordinate their care
Conduct annual Health Risk Assessment Surveys
Address members’ social determinants of health needs
Close gaps in preventive and health maintenance care
Use available resources to engage hard-to-reach members
Develop individualized care plans with members, including goals and interventions
Document care management activities in members’ electronic health records
Collaborate with the Interdisciplinary Care Team to address barriers to care and maintain stable health conditions
Connect members with health plan benefits and community resources
Meet regulatory requirements within specified timelines
Consult with the Care Manager RN regarding clinical knowledge, medication regimens, and clinical decision-making
Support team objectives and operational efficiency
Participate in special projects and process improvement initiatives
Assist with mentoring new team members

Requirements

What you’ll need

2+ years of experience in a health-related field
2+ years of customer service experience
Proficiency in Microsoft Office Suite: Word, Excel, Outlook, OneNote, and Teams
Ability to effectively utilize Microsoft Office tools within the Care Manager Specialist role
Access to a private, dedicated workspace
Dependents must have separate care arrangements during work hours
Experience or willingness to learn care management within Medicare and Medicaid managed care
Familiarity with community resources and services
Ability to navigate and use 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 meeting state requirements (required)
Bilingual skills, especially English-Spanish, preferred
Experience providing care management for Medicare and/or Medicaid members preferred
Experience with SDoH needs, chronic medical conditions, and/or behavioral health preferred
Experience conducting health-related assessments and facilitating care planning 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, based on eligibility