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CVS Health Care Management Associate (Fully Remote in Downer's Grove, IL) in Downers Grove, Illinois

Job Description

Support comprehensive coordination of medical services , screening and supporting the implementation of care plans to promote effective utilization of healthcare services. Promotes, supports quality effectiveness of Healthcare Services, Care Management Associates (CMA's) support the Care Management (CM) team by performing non clinical, administrative duties. These duties may include but are not limited to processing referrals, making outreach calls, entering data into Dynamo or QNXT, and processing member mailings. Responsible for initial review and triage of Care Team tasks. Provides support services to team members by answering telephone calls, taking messages, researching information and assisting in solving problems. Adheres to Compliance with PM 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

  • 1-2 years of experience in a multi-tasking administrative role.- Organization skills- Time management skills- Proficient in Microsoft Office Suite

Preferred Qualifications

Please see above.

Education

High School Diploma or G.E.D.

Business Overview

At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

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