Care Management Associate - OhioRISE (Must live in Ohio) at CVS Health

Columbus, Ohio, United States -

Full Time

Start Date

Immediate

Expiry Date

08 Feb, 26

Salary

31.72

Posted On

10 Nov, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Care Coordination, Problem Solving, Multitasking, Initiative, Communication, Compassion, Professionalism, Data Systems, Health Risk Assessments, Escalated Calls, Behavioral Health, Medicaid Services, Referral Processing, Customer Service, Flexibility

Industry

Hospitals and Health Care

Description

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary OhioRISE manages the behavioral health benefit for eligible children and young adults receiving Medicaid services in Ohio. The CMA will regularly interface with various groups around the state who are providing care coordination services or supporting the services that are utilized by our membership. This can include but are not limited to, care coordinators, managers, community members, referral sources, children services, children/young adults, guardians, family members, case managers, behavioral health providers, etc. This role serves as the "Front desk" to the OhioRISE plan. This individual will work on an inbound care management queue line, responding to questions and inquiries from both members/guardians or parties assisting with services. They will be responsible for taking referrals for OhioRISE, confirming their Medicaid eligibility and processing the referral. This role will also complete Health Risk Assessments for all for members assigned. It is imperative that the CMA must be able to practice both a high level of professionalism and compassion at all times when interacting with various departments or member representatives. The CMA will also support administrative needs that involve comfortability with working in complex data systems, an Electronic Record System and/or Excel at any given time. Tasks can change with little notice to meet the demands of the health plan requiring flexibility. The Care Management Associate (CMA) role is a full-time remote telework position. Qualified candidates must reside in Ohio. Schedule is Monday – Friday, 8am-5pm, standard business hours. No required holidays or weekends. Candidates must have a private location to complete all work that is free from distractions or other individuals. You will need to secure your own internet but, your equipment will be provided to you prior to your first day. Required Qualifications Recent experience working for other MCOs, specifically within the last 5-7 years in the state of Ohio. Experience may be replaced with recent employment with healthcare organizations or companies. Must be able to pass and obtain CANS assessments certification within 90 days of employment. It is essential that staff must be able to demonstrate and articulate in an interview how they meet the qualifications below: • Ability to handle escalated calls • Problem solving skills in stressful situations • Ability to multitask in multiple systems at one time • Ability to take initiative in own learning • Ability to articulate how you contribute to a positive work environment Preferred Qualifications • Associates degree, or other specialized health care certifications or training. • Desire and interest in helping individuals with behavioral health care needs Education HS Diploma, GED or Equivalent Experience Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $18.50 - $31.72 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 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. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 11/28/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Responsibilities

The Care Management Associate will interface with various groups providing care coordination services for eligible children and young adults receiving Medicaid services in Ohio. They will manage an inbound care management queue, respond to inquiries, process referrals, and complete Health Risk Assessments.