**Fully Remote, Must Reside in Maricopa County, AZ**

• Hours for the Position: Monday-Friday 8am - 5pm AZ

This role is work from home; some travel may be required in Maricopa County. Supports Case Manager with comprehensive coordination of services and follow up support to ALTCS membership, that may include onsite visits. Outreaching members and providers for care coordination. Make appropriate referrals to medical services staff and coordinate the required services in accordance with the benefit plan. Utilizes Dynamo, QNXT, and other Aetna systems to build, research and enter member information, as needed. Coordinates and arranges for health care service delivery under the direction of the case manager in the most appropriate setting at the most appropriate expense by identifying opportunities for the ALTCS member to utilize participating providers and services. Promote communication, both internally and externally to enhance effectiveness of service delivery. 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 AHCCCS AM/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. Supports the case manager with post hospital follow-up and placement changes.

Pay Range
The typical pay range for this role is:
Minimum: 18.50
Maximum: 34.60

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

Required Qualifications

• 1+ years of experience with computers including knowledge of Microsoft Office Suite: Word, Outlook, and Excel , etc.
• 2+ years of experience in either customer service, telemarketing and/or sales
• COVID Requirements

Preferred Qualifications

• Experience collaborating with medical professionals
• Experience working with people who have been designated as having a serious mental illness (SMI) and working with people who are elderly or have a physical disability
• Data entry and documentation within member records
• Proficiency in typing for keying in information and navigating in multiple systems
• Ability to work independently with remote support.
• Excellent attendance record
• Knowledge of Arizona Long Term Care Services
• Medical office experience
• Call center experience
• 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

Education
High School Diploma required

Business Overview
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.