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Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

The Care Management Associate (CMA) role is a full-time remote telework position. Qualified candidates must reside in Ohio. This position manages enrollment for Children’s Specialty (CS) program including foster, child and family welfare population health members and other programs serving children with special healthcare needs.

The Care Management Associate supports comprehensive coordination of medical services including Care Team intake, screening and supporting the implementation of Wellness Plans to promote effective utilization of healthcare services.

This position promotes/supports quality effectiveness of healthcare services. This is a telework position and qualified candidates must reside in Ohio.  Schedule is Monday – Friday, 8am-5pm, standard business hours. 

Position Summary
 

The CMA provides the administrative support to the OhioRISE health plan. CMAs are responsible for the inbound Care Coordination Queue line and Referrals for CANs Assessments by families and external entities. CMA also are responsible to complete the Health Risk Assessments for member served by our Care Management Entities.

CMAs must be comfortable interfacing with membership and families around the state including their care coordinators, managers, community members, referral sources, children services, etc. through outbound our inbound call sources. The CMAs provide information about the health plan, the benefits and enrollment.

CMA are knowledgeable about OhioRISE benefits and capable of responding to inquiries. The CMA must be comfortable handling sensitive calls, complaints, concerns or needs of the member or family. All team members work on independent administrative tasks that can be modified or changed at any time. CMA s complete documentation in the electronic record system in a timely manner.

Required Qualifications:

• Must reside in Ohio.
• Managed Care experience within the last 5-7 years
• Managed Care experience can be replaced by 2-4 years’ experience in healthcare field or working with foster, child and family welfare populations (e.g., experience in a medical office, hospital setting, case worker in community health setting)
• Effective communication, telephonic and organization skills with ability to be agile, managing multiple priorities at one time, and adapting to change with enthusiasm.
• Strong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification, and resolution of issues to promote positive outcomes for members.
• 2+ years’ demonstrated proficiency with personal computers, keyboard and multi-system navigation, and MS Office Suite application (Teams, Outlook, Word, Excel, etc.)
• Must pass CANS certification exam (within the first 3 months of employment) and be required to administer the CANS with the child and/or family.

• Support and establish a positive work environment that promotes teamwork, acknowledges team contributions, solicits input, and offers personal assistance when needed.

• Ability to maintain flexibility and adjust to changing needs within health plan needs that may require ongoing Re-prioritization of tasks
   

Preferred Qualifications:

• Motivational interviewing skills
• Call Center experience, inbound and outbound
• Managed Care experience
   

Education :

• High school diploma or G.E.D., or equivalent experience

Pay Range

The typical pay range for this role is:

$18.50 - $31.72

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.  
 
For more detailed information on available benefits, please visit Benefits | CVS Health

We anticipate the application window for this opening will close on: 09/11/2024

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