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About the Role
Aetna’s Medicaid Care Management Engagement Outreach Hub is a new initiative focused on prioritizing Medicaid member interaction, maximizing inbound and outbound touchpoints to solve members’ needs and create behavioral change. The Engagement Outreach Hub Care Management Associate supports comprehensive coordination of healthcare services through telephonic outreach to and enrollment of our eligible members.
Responsibilities
- Provides support services to team members by answering telephone calls, taking messages, researching information and assisting in solving problems.
- Adheres to Compliance with policies and procedure/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.
- Direct member outreach and engagement.
- Facilitating case assignment.
- Connecting identified members to care managers immediately through a warm transfer.
- Enrolling members into care management.
- Supporting the implementation of care plans to promote effective utilization of healthcare services.
- Promoting and supporting quality effectiveness.
Requirements
- Strong communication, organizational, and customer service skills.
- Ability to manage multiple priorities and adapt to change.
- Consistently meet productivity and quality metrics with accuracy and a positive attitude.
- Strong attention to detail and documentation skills.
- Ability to work independently while collaborating effectively with team members.
- Professional, enthusiastic, and member-focused approach to outreach.
- 2 to 4 years of healthcare experience (medical office, hospital, billing/coding, etc.).
- Proficiency in Microsoft Word, Outlook, and Excel.
- Familiarity with medical terminology and care management concepts.
- Flexibility to work occasional evenings or weekends.
- Strong verbal and written communication skills.
- Bilingual Spanish preferred.
Skills
- Communication
- Organizational skills
- Customer service
- Microsoft Word
- Microsoft Outlook
- Microsoft Excel
- Medical terminology
- Care management concepts
- Verbal communication
- Written communication
Location
- Remote
Work Type
- Full time
Experience Level
- 2 to 4 years of healthcare experience
Education Level
- HS Diploma or GED equivalent
Salary/Compensations
- $18.50 - $42.35 per hour
Benefits
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
About the Company
- 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.
- Aetna, a CVS Health Company, is a healthcare innovator.
Equal Opportunity
- Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.