Care Management Associate - OhioRISE (Must live in Ohio)

CVS Health; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

Join a leading health solutions company as a Care Management Associate, where you'll play a vital role in supporting children's behavioral health needs. This full-time remote position offers the chance to make a meaningful impact while working with a diverse group of stakeholders. You'll manage inquiries, process referrals, and conduct assessments, all while demonstrating professionalism and compassion. Enjoy a flexible schedule, comprehensive benefits, and the opportunity to work in a fulfilling environment that prioritizes health and well-being. If you're passionate about transforming healthcare and helping others, this role is perfect for you.

Benefits

Medical plans

401(k)

Employee stock purchase plan

Wellness programs

Paid time off

Flexible schedules

Family leave

Tuition assistance

Qualifications

• Experience in managed care organizations or healthcare settings.
• Ability to pass CANS assessments certification within 90 days.

Responsibilities

• Handle inbound care management inquiries and referrals.
• Process Medicaid eligibility and complete Health Risk Assessments.

Skills

Problem-solving

Multitasking

Compassionate communication

Education

High School Diploma or GED

Associate’s degree or healthcare certifications

Tools

Excel

Electronic record systems

Job description

Care Management Associate - OhioRISE (Must live in Ohio)

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels, and more than 300,000 purpose-driven colleagues – caring for people where, when, and how they choose in a way that is uniquely more connected, more convenient, and more compassionate. And we do it all with heart, each and every day.

Position Summary

OhioRISE manages the behavioral health benefit for eligible children and young adults receiving Medicaid services in Ohio. The CMA will regularly interface with various groups around the state who are providing care coordination services or supporting the services utilized by our members. This includes, but is not limited to, care coordinators, managers, community members, referral sources, children’s services, guardians, family members, case managers, and behavioral health providers.

This role acts as the 'front desk' for the OhioRISE plan, handling inbound care management inquiries from members, guardians, or service providers. Responsibilities include taking referrals, confirming Medicaid eligibility, processing referrals, and completing Health Risk Assessments for assigned members. The CMA must demonstrate professionalism and compassion when interacting with departments and member representatives. Additionally, the role requires supporting administrative tasks, working with complex data systems, electronic record systems, and Excel. Tasks may change with little notice to meet the health plan’s needs, requiring flexibility.

This is a full-time remote telework position. Qualified candidates must reside in Ohio. The schedule is Monday – Friday, 8 am - 5 pm, with no holidays or weekends. Candidates need a private, distraction-free workspace and must secure their own internet; equipment will be provided prior to start.

Required Qualifications

• Recent experience (within the last 5-7 years) working for other MCOs in Ohio, or recent employment with healthcare organizations.
• Ability to pass and obtain CANS assessments certification within 90 days of employment.
• Ability to handle escalated calls, problem-solve in stressful situations, multitask across multiple systems, take initiative in learning, and contribute positively to the work environment.

Preferred Qualifications

• Associate’s degree or other healthcare certifications or training.
• Interest and desire to help individuals with behavioral health needs.

Education

HS Diploma, GED, or equivalent experience.

Anticipated Weekly Hours

40 hours/week.

Time Type

Full-time

Pay Range

The typical pay range is $18.50 - $31.72 per hour. The actual offer depends on experience, education, location, and other factors. The position is eligible for bonuses or incentives.

Benefits

We offer comprehensive benefits including medical plans, 401(k), employee stock purchase plan, wellness programs, paid time off, flexible schedules, family leave, tuition assistance, and more. For details, visit https://jobs.cvshealth.com/us/en/benefits.

Application deadline: 05/31/2025. Qualified applicants with arrest or conviction records will be considered according to law.

About CVS Health

We share a purpose: helping people on their path to better health through health services, plans, and community pharmacies—pioneering a new approach to total health, making quality care affordable, accessible, and seamless.