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Case Management Specialist at CVS Health - ApplyBlast

Case Management Specialist

CVS Health

3 months ago

3.2 on Glassdoor

Onsite

Full Time

Junior

0 applicants

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About this role

As a Care Manager Specialist at CVS Health, you will coordinate care for members of the Special Needs Plan with a focus on social determinants of health and stable conditions. You will engage members telephonically to develop individualized care plans, connect them with community resources, and maintain accurate documentation in electronic health records. This role requires close collaboration with interdisciplinary teams, including Registered Nurses and Social Workers, to address barriers to care and ensure regulatory compliance.

Responsibilities

Coordinate care for Special Needs Plan members with social determinants of health needs
Conduct telephonic engagement to develop individualized care plans and interventions
Maintain meticulous documentation of care management activities in electronic health records
Collaborate with interdisciplinary teams to address barriers to care and maintain stable health
Connect members with health plan benefits and community resources to close care gaps

Skills

Qualifications

Associate's Degree in Health CarePractical Nurse Degree/CertificateActive Nursing Licensure

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.