Care Management Coordinator
$43,888–$85,072 year
Remote · Texas, United States or Connecticut, United States
Job Summary
As a Care Management Coordinator on the CVS Health/Aetna DSNP care team, you will coordinate care for Dual Eligible members by collaborating with the care manager, social worker, and interdisciplinary team to address health, social determinants of health, and preventive care needs. Key duties include conducting the annual Health Risk Survey, identifying risks and service needs, completing care coordination activities within established timeframes, escalating quality or safety concerns, advocating for members, maintaining engagement through problem-solving and motivational interviewing, and ensuring accurate documentation in line with regulatory and accreditation guidelines. The role emphasizes collaboration, professional communication, and a strong commitment to member-centered care within Medicare and Medicaid managed care.
Required Qualifications
- 2+ years in behavioral health, social services, or a related field relevant to the program focus
- Proficient in Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams) and capable of utilizing these tools effectively in the CM Coordinator role
- Access to a private, dedicated workspace to fulfill job requirements effectively
- Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted
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