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Inbound Outbound Queue Associate
CVS Health. Support comprehensive coordination of medical services, including Care Team intake, screening, and care plan implementation .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coordinating medical services, including care plan implementation and compliance with regulatory standards. Proficient in maintaining accurate documentation and effective communication with healthcare teams and providers.
Highest-signal resume keywords
Care Plan ImplementationHealthcare CoordinationRegulatory ComplianceData EntryEffective Communication
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Documentation ManagementCare Team IntakeRisk ManagementBehavioral Medical TerminologyCare Management Concepts
Soft Skills
Organizational SkillsCustomer Service SkillsAttention to DetailAdaptabilityIndependent Work
Tools & Technologies
Electronic Health Record SystemMicrosoft WordMicrosoft OutlookMicrosoft Excel
Certifications & Qualifications
High School DiplomaG.E.D.
Industry Keywords
Healthcare ServicesMember ConfidentialityEligibility VerificationBenefits VerificationCare Plan Review
About the role
Key responsibilities & impact- Support comprehensive coordination of medical services, including Care Team intake, screening, and care plan implementation
- Promote and support quality and effectiveness of healthcare services
- Comply with policies, procedures, and regulatory standards
- Maintain accurate and complete documentation for risk management, regulatory, and accreditation requirements
- Protect member confidentiality
- Perform initial review and triage of care team tasks and ongoing management of Care Plan Review tasks
- Support development, implementation, and follow-up of care plans
- Promote internal and external communication with providers and healthcare team members
- Enter and maintain member records in the electronic health record system
- Compile reports and complete program documentation, including progress notes and letters
- Conduct non-medical research, including eligibility, COB, and benefits verification
- Communicate with Aetna internal teams when processing member transitions
Requirements
What you’ll need- Must reside in Ohio
- Effective communication and organizational skills
- Ability to manage multiple priorities and adapt to change
- Strong customer service skills
- Attention to detail and ability to complete required documentation efficiently
- Ability to work independently and meet deliverables and deadlines
- Computer experience, including Microsoft Word, Outlook, and Excel
- Data entry and documentation within member records
- Strong verbal and written communication skills
- High School diploma, G.E.D. or equivalent
- 2+ years of healthcare experience preferred
- Familiarity with basic behavioral medical terminology and care management concepts 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
- CVS Health bonus, commission or short-term incentive program in addition to base pay