If you’re good at getting people engaged, asking the right questions, documenting cleanly, and coordinating care across a bunch of moving parts, this is a strong remote care coordination role supporting DSNP members (Medicare + Medicaid).
About CVS Health
CVS Health (Aetna) supports members through managed care programs focused on improving outcomes, closing care gaps, and connecting people to medical and community resources.
Schedule
- Full-time, 40 hours/week
- Remote, posting is tied to Georgia
- Requires private, dedicated workspace
What You’ll Do
- Conduct annual Health Risk Surveys to help build each member’s Individual Plan of Care
- Identify and escalate new health/safety risks or service needs to the Care Manager
- Complete care coordination tasks delegated by the Care Manager within required timelines
- Flag potential quality-of-care concerns to management
- Address social determinants of health (SDoH) and connect members to resources
- Work to close preventive care and health maintenance gaps
- Track down alternate contact info for hard-to-reach members
- Use motivational interviewing to improve engagement and encourage healthier behaviors
- Document accurately and follow regulatory/accreditation requirements
- Hit metrics tied to call volume, engagement, and compliance
What You Need
- 2+ years in behavioral health, social services, or a closely related field
- Proficiency in Microsoft Office (Word, Excel, Outlook, OneNote, Teams)
- Strong written/verbal communication + professional phone presence
- Comfortable navigating multiple healthcare tech tools
- Ability to learn and work within Medicare/Medicaid managed care processes
- Dedicated, private work area at home
Preferred Qualifications
- Case management and/or discharge planning experience
- Managed care experience
- Associate’s/Bachelor’s, or non-licensed master’s level clinician background in a related human services field (preferred, not required)
Benefits
- Pay range: $21.10 – $36.78/hour (offer varies)
- CVS benefits package (medical plans, 401(k), stock purchase plan, wellness programs, PTO, etc.)
Urgency
Application window listed to close 02/27/2026.
Quick gut-check: This is not “clinical” like hands-on patient care. It’s coordination, documentation, outreach, and compliance. If you like structured workflows, helping people solve real-life barriers, and being the steady voice on the other end of the phone, it’s a good fit. If you hate metrics, repetitive outreach, or heavy documentation, it’ll grind you down.
Happy Hunting,
~Two Chicks…