Job Description
Title: Case Manager Associate
Location: Topeka KS; US
Category: Clinical Services
Job Type: Fully remote
Salary: 18.50 – 34.60 /hour
Job Description:
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand with heart at its center our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
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.
Position Summary
Aetna Better Health of Kansas, is committed to helping people on their path to better health. By taking a total and connected approach to health, we guide and support our members so they can get more out of life, every day. We are looking for talent like you who value excellence, integrity, caring and innovation. As an employee, you ll join a team dedicated to improving the lives of Aetna Better Health of Kansas members. We value diversity and are dedicated to helping you achieve your career goals.
This will be a full-time telework role.
Schedule is Monday-Friday, standard business hours 8am-5pm.
The Care Management Associate:
Promotes communication, both internally and externally to enhance effectiveness of medical management services (e.g. health care providers, and health care team members respectively).
Provides support services to team members by answering telephone calls, taking messages, researching information, and assisting in solving problems.
Utilizes Aetna systems to build, research and enter member information, as needed.
Adheres to Compliance with health plan Policies and Regulatory Standards.
Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements.
Protects the confidentiality of member information and adheres to company policies regarding confidentiality.
Required Qualifications
- Minimum of 2 years experience in Customer Service role, preferably in medical field.
- 2 years experience in managed care or population health
- Requires long periods of sitting and telephone and computer work.
Preferred Qualifications
- Data entry and documentation within member records
- Proficiency in typing for keying in information and navigating in multiple systems
- Medical office experience
- Call center experience
- Medical terminology knowledge
- Strong telephonic communication skills
- Strong organizational skills with an ability to prioritize tasks to meet time-sensitive deadlines
- Effective verbal and written communications skills with both customers and teammates
Education
- High School Diploma/GED or Equivalent Experience