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Care Management Specialist at CVS Health - ApplyBlast

Care Management Specialist

CVS Health

5 months ago

3.2 on Glassdoor

Florida

Onsite

Full Time

Junior

0 applicants

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About this role

The Care Manager Specialist at CVS Health serves as a vital member of the Special Needs Plan care team, coordinating care for members with specific social determinants of health needs. This role involves telephonic engagement to connect with patients, develop individualized care plans, and collaborate with an interdisciplinary team including nurses and social workers. Responsibilities include maintaining precise documentation in electronic health records, addressing preventive care gaps, and linking patients with community resources and benefits.

Responsibilities

Coordinate care for members with stable health conditions and social determinants of health needs
Conduct annual Health Risk Assessment surveys to evaluate member needs and identify gaps
Develop and implement individualized care plans with goals aligned to member requirements
Maintain meticulous documentation of care management activities in electronic health records
Connect members with health plan benefits and external community resources

Skills

Qualifications

Associate's DegreePractical Nurse DegreeActive Nursing LicensureBachelor's Degree in HealthcareBilingual Skills

About CVS Health

cvshealth.com

Headquarters

Woonsocket, Rhode Island, United States

Company Size

10001+ employees

Founded

1963

View Profile

CVS Health is America's leading health solutions company, providing integrated services across retail pharmacy (CVS Pharmacy), pharmacy benefits management (CVS Caremark), and health insurance (Aetna). The company offers pharmacy services, health plans, clinical care (including MinuteClinic), and health-and-wellness programs for consumers, employers, and government payers. By combining a large national retail footprint with claims processing, care management, and clinical services, CVS Health aims to coordinate care, lower costs, and improve health outcomes. Businesses and consumers use its solutions for medication management, plan administration, and in-person and virtual care.