Check out this very easy work-from-home job paying up to $33.65/hour with no degree and almost no experience required.
It's the Care Management Associate at CVS Health.
CVS Health is a healthcare company that owns CVS Pharmacy, CVS Caremark, and Aetna.
Care Management Associate at CVS Health
What you'll do:
-Responsible for initial review and triage of Care Team tasks.
-Identifies principal reason for admission, facility, and member product to correctly apply intervention assessment tools.
-Screen patients using targeted intervention business rules and processes to identify needed medical services, make appropriate referrals to medical services staff and coordinate the required services in accordance with the benefit plan.
-Monitors non-targeted cases for entry of appropriate discharge date and disposition.
-Identifies and refers outlier cases (e.g., Length of Stay) to clinical staff.
-Identifies triggers for referral into Aetna’s Case Management, Disease Management, Mixed Services, and other Specialty Programs.
-Utilizes Aetna systems to build, research and enter member information, as needed.
-Support the Development and Implementation of Care Plans.
-Coordinates and arranges for health care service delivery under the direction of nurse or medical director in the most appropriate setting at the most appropriate expense by identifying opportunities for the patient to utilize participating providers and services Promotes communication, both internally and externally to enhance effectiveness of medical management services (e.g., health care providers, and health care team members respectively)
-Performs non-medical research pertinent to the establishment, maintenance, and closure of open cases
-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.
-May assist in the research and resolution of claims payment issues.
-Supports the administration of the hospital care, case management and quality management processes in compliance with various laws and regulations, URAQ and/or NCQA standards, Case Management Society of America (CMSA) standards where applicable, while adhering to company policy and procedures. (*)
-Effective communication, telephonic and organization skills.
-Familiarity with basic medical terminology and concepts used in care management.
-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.
-Computer literacy to navigate through internal/external computer systems, including Excel and Microsoft Word.
-Ability to effectively participate in a multi-disciplinary team including internal and external participants.
“Our client base is growing steadily and we’re looking for a competent Support Engineer with exceptional communication and technical skills who can provide enterprise level technical support to our customers via our live chat support system.”
The typical pay range for this role is:
-Must have call center experience (minimum of 6 months experience)
-Experience with computers including knowledge of Microsoft Word, Outlook, and Excel
-Proficiency in typing for keying in information and navigating in multiple systems
-Requires long periods of sitting and telephone and computer work.
High School diploma or equivalent experience.
-Data entry and documentation
-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
-2 years of experience in either customer service, telemarketing and/or sales
- Medical and Prescription coverage
- Dental and Vision coverage
- Health Savings Account (HSA)
- Flexible Spending Accounts (FSAs)
- Employee Assistance Plan
- Life and accident insurance coverage
- Disability coverage.
- 401(k) plan
- Employee Stock Purchase Plan
- Colleague Discount Program
- Educational support
- Vacation, sick and personal days
- Paid Parental Leave
- Well-being program providing resources for: Character strengths, Emotional health, Physical health, Social connectedness, Purpose, and Financial Security.
- More on their benefits here.
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