If you want a role where your calls actually move the needle for people with complex needs, this one’s built for that. You’ll support dual-eligible (Medicare + Medicaid) DSNP members, helping connect medical care, social support, and preventive follow-through into one clear plan.
About CVS Health (Aetna Care Management)
Aetna’s care management teams support members with complex health and social needs, partnering with providers, community resources, and internal clinical teams to improve outcomes and close care gaps.
Schedule
- Full-time (40 hours/week)
- Remote (Work at Home)
- Location listed: Ohio
What You’ll Do
- Conduct annual Health Risk Surveys to identify needs and support each member’s Individual Plan of Care
- Coordinate care tasks delegated by the Care Manager, within established timelines
- Escalate newly identified health/safety risks, service needs, and any quality-of-care concerns
- Support members by addressing social determinants of health (SDoH) and connecting them to resources
- Use problem-solving to locate hard-to-reach members and improve engagement
- Apply motivational interviewing techniques to encourage participation and healthier choices
- Document activity and follow case management processes aligned to regulatory/accreditation requirements
- Meet productivity and compliance metrics (call volume, engagement, regulatory standards)
What You Need
- 2+ years in behavioral health, social services, or a related field aligned to the program
- Strong comfort with Microsoft Office (Word, Excel, Outlook, OneNote, Teams)
- A private, dedicated workspace for remote work
- High School Diploma + equivalent experience (required)
Nice to Have
- Case management and/or discharge planning experience
- Managed care experience
- Associate’s/Bachelor’s degree (or master’s level behavioral health/human services clinician background)
Benefits
- Pay range: $21.10 – $40.90/hr (plus bonus/short-term incentive eligibility, where applicable)
- Medical plan options, 401(k) with matching, employee stock purchase plan
- Wellness programs, counseling, financial coaching
- PTO, flexible schedules, family leave, tuition assistance, and more (eligibility-based)
Application window closes: 01/29/2026
If you’re actually considering applying, do this next: paste your current resume bullets (or your last 2 roles), and I’ll rewrite them so they line up with care coordination, SDoH, member engagement, documentation, and motivational interviewing without overreaching.
Happy Hunting,
~Two Chicks…