Medicaid Care Coordination Specialist

CVS Health; United States; Remote; USD 25,000 - 58,000; Full time

Job summary

CVS Health is seeking an Engagement Outreach Hub Care Management Associate to coordinate telephonic care for Medicaid members and promote effective utilization of services. This role blends outreach, enrollment and care coordination with a focus on privacy and compliance.

You will interact with members, enroll into care management, and connect identified individuals to care managers via warm transfers. A high school diploma and strong communication skills are required, with bilingual Spanish a

Qualifications

• Meet daily metrics with speed, accuracy and a positive attitude.
• Effective verbal, telephonic and organizational skills.
• Strong customer service skills to coordinate care and privacy compliance.
• Accurate documentation of member calls in electronic records.
• Ability to work independently and meet deadlines in a team setting.

Responsibilities

• Conduct outreach to enrol eligible members into care management.
• Facilitate warm transfers to care managers.
• Document member interactions accurately in the system.
• Support team with calls, messages, and problem solving while complying with policies.

Skills

Daily metrics

Telephonic communication

Organizational skills

Customer service

Documentation

Independent work

Team collaboration

Education

High School diploma or GED

Tools

Microsoft Word

Outlook

Excel

Job description

CVS Health is seeking an Engagement Outreach Hub Care Management Associate to coordinate telephonic care for Medicaid members and promote effective utilization of services. This role blends outreach, enrollment and care coordination with a focus on privacy and compliance.

You will interact with members, enroll into care management, and connect identified individuals to care managers via warm transfers. A high school diploma and strong communication skills are required, with bilingual Spanish a