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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.
This is an exciting time to join Aetna, a CVS Health Company, in our journey to change the way healthcare is delivered today.
We are health care innovators.
Our people fuel our future.
Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Equal Opportunity

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.