On-site Full-time

CVS Health / Oak Street Health is hiring a Care Management Coordinator

About the Role

CVS Health is looking for a Care Management Coordinator to join our Aetna care management team. In this role, you will coordinate comprehensive care for Dual Eligible Special Needs Plan (DSNP) members, evaluating their needs and working closely with care teams, providers, and community organizations to address complex healthcare and social requirements.

What You'll Do

  • Conduct the annual Health Risk Survey to support needs identification for the member’s Individual Plan of Care.
  • Inform the assigned care manager of newly identified health/safety risks or service needs.
  • Complete care coordination activities delegated by the care manager within an established timeframe.
  • Inform the assigned care manager and/or associate manager of any identified quality of care issues.
  • Passionately support the member’s care coordination needs and drive solutions to address those needs.
  • Use problem-solving skills to find alternative contact information for members who are unreachable by care management.
  • Employ motivational interviewing techniques to maximize member engagement and promote lifestyle changes for optimal health.
  • Adhere to case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies.

What We're Looking For

  • 2+ years in behavioral health, social services, or a related field relevant to the program focus.
  • Proficient in Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams) and capable of utilizing these tools effectively.
  • Access to a private, dedicated workspace to fulfill job requirements effectively.
  • High School Diploma with equivalent experience (REQUIRED).

Nice to Have

  • Case Management and Discharge Planning Experience.
  • Managed Care Experience.
  • Associate’s or Bachelor’s Degree or non-licensed master’s level clinician in behavioral health or human services (psychology, social work, marriage and family therapy, counseling) or equivalent experience.

Technical Stack

  • Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams).

Team & Environment

Member of the Special Needs Plan (SNP) care team, collaborating with Care Manager, Social Worker, and other interdisciplinary team members.

Benefits & Compensation

  • Compensation: $21.10 - $40.90 per hour.
  • Affordable medical plan options.
  • 401(k) plan (including matching company contributions).
  • Employee stock purchase plan.
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
  • Paid time off.
  • Flexible work schedules.
  • Family leave.
  • Dependent care resources.
  • Colleague assistance programs.
  • Tuition assistance.
  • Retiree medical access.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Required Skills
Microsoft Office SuiteWordExcelOutlookOneNoteTeamsCare ManagementCoordinationCommunicationOrganizationAdministrative Support
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About company
CVS Health / Oak Street Health

CVS Health is the nation's leading health solutions company, reaching millions of Americans through local presence, digital channels and more than 300,000 purpose-driven colleagues. Oak Street Health is an innovative network of neighborhood primary care centers.

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Posted 2 months ago