Care Management Associate - Texas

CVS Health
1d$19 - $35Remote

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary This work‑from‑home role is responsible for reviewing and triaging Care Team tasks, identifying key patient information, and supporting care coordination processes. The position screens members for needed services using established guidelines, makes referrals to clinical staff, and monitors cases for accurate updates. The role also supports care plan development by arranging services under clinical direction, promoting communication across care teams, and conducting non‑medical research to maintain and close cases. The Care Coordinator accurately documents required information, assists with resolving issues, protects member confidentiality, and ensures compliance with regulatory and accreditation standards. Strong communication, customer service, organization, and computer skills are essential, along with the ability to navigate multiple systems and work effectively within a multidisciplinary team.

Requirements

  • Must Reside in the State of Texas
  • 2+ years of experience in healthcare support, customer service, call center, medical office, or related administrative role
  • Experience working with patients, members, or customers in a service‑oriented environment
  • Strong communication skills (verbal, written, and telephonic)
  • Excellent organizational and time‑management skills
  • Ability to multitask and manage multiple cases or tasks simultaneously
  • Basic understanding of medical terminology and general healthcare concepts
  • Strong customer service focus, with the ability to handle sensitive situations and promote positive member experiences
  • Critical thinking and problem‑solving ability
  • High School Diploma or G.E.D.

Nice To Haves

  • High attention to detail and accuracy in documentation
  • Ability to work effectively in a remote, structured environment
  • Ability to collaborate with a multidisciplinary team
  • Commitment to maintaining confidentiality and complying with regulatory and company standards
  • Strong ability to follow workflows, guidelines, and established processes
  • Proficiency using computers and navigating multiple systems
  • Comfort with Microsoft Office tools, especially Word and Excel
  • Ability to learn and work within internal case management platforms and databases

Responsibilities

  • Reviewing and triaging Care Team tasks
  • Identifying key patient information
  • Supporting care coordination processes
  • Screening members for needed services using established guidelines
  • Making referrals to clinical staff
  • Monitoring cases for accurate updates
  • Supporting care plan development by arranging services under clinical direction
  • Promoting communication across care teams
  • Conducting non‑medical research to maintain and close cases
  • Accurately documenting required information
  • Assisting with resolving issues
  • Protecting member confidentiality
  • Ensuring compliance with regulatory and accreditation standards

Benefits

  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
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