Remote Care Management Coordinator

4004 Aetna Medicaid Administrators; United States; Remote; USD 29,000 - 56,000; Full time

Job summary

CVS Health is hiring a Care Management Coordinator to support care coordination across the continuum. You will assess, plan, implement, coordinate, monitor and evaluate member care, using tools and resources to drive positive health outcomes.

The role emphasizes engaging with members, coordinating with providers, and guiding them through plans of care. Strong communication, organizational skills and regulatory compliance are essential.

Qualifications

• 2 years of related professional experience in care management or related health services.
• Strong customer service orientation and problem solving.
• Excellent motivational interviewing skills and ability to build rapport remotely.
• Excellent documentation and compliance with regulatory standards.
• Highly organized with time management and ability to travel.

Responsibilities

• Uses care management tools to evaluate members and determine appropriate care plans.
• Identify high-risk factors and coordinate referrals to clinical care management or crisis intervention as needed.
• Employ motivational interviewing to maximize member engagement and promote healthy choices.
• Educate and empower members to participate in decisions with providers.
• Coordinate and monitor care plan activities and progress with the interdisciplinary team.
• Escalate quality of care issues through established channels and ensure HIPAA compliance.

Skills

Care coordination

Motivational interviewing

Customer service

Documentation

Time management

Travel ability

Education

Bachelor’s degree in social work, psychology, or a related health or social services field

Tools

Microsoft Office 365

Job description

CVS Health is hiring a Care Management Coordinator to support care coordination across the continuum. You will assess, plan, implement, coordinate, monitor and evaluate member care, using tools and resources to drive positive health outcomes.

The role emphasizes engaging with members, coordinating with providers, and guiding them through plans of care. Strong communication, organizational skills and regulatory compliance are essential.