Care Management Associate (CST/EST)

Program Overview Join the Aetna Clinical Collaboration (ACC) team - an innovative and growing, community‑based care management model designed to transform how we serve our members. ACC is a member‑centric, team‑delivered approach that meets members where they are. Through compassionate engagement and strong communication, our care teams collaborate with members, providers, and community organizations to address the full continuum of healthcare needs, including medical, behavioral, and social determinants of health. Position Summary The Care Management Associate (CMA) supports the ACC Case Management team by performing non‑clinical care coordination and administrative functions to promote timely, effective member care. Working under the direction of Senior Managers, the CMA assists with care coordination activities, telephonic outreach, and case support to ensure efficient care delivery and positive member outcomes. Key Responsibilities Supports ACC team with daily care coordination and case support activities Review and monitor daily census and provide updates to on‑site staff via email Perform inbound and outbound telephonic outreach to members, providers, and facilities Process referrals, track cases, manage shared queues and program mailboxes Enter and maintain accurate documentation in clinical systems (e.g., MedCompass, CEC) Complete detailed documentation of all member interactions in compliance with regulatory and accreditation standards Facilitate communication between interdisciplinary care team members and external stakeholders Conduct non‑clinical research and gather information to support care planning and case progression Escalate clinical concerns or barriers to Senior Managers as appropriate Remote Work Expectations This is a 100% remote role; candidates must have a dedicated workspace free of interruptions Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted Required Qualifications Candidate must reside in CST/EST time zones 1+ year of customer service experience (healthcare environment preferred) Strong customer service and member engagement skills Strong organizational skills, including effective verbal and written communication skills Basic knowledge of medical terminology Proficiency in Microsoft Office (Word, Excel, Outlook) and ability to navigate multiple systems Preferred Qualifications 2-4 years of healthcare experience (e.g., medical office, hospital, care coordination, billing/coding) Experience supporting care management or case management teams Familiarity with clinical platforms such as MedCompass or CEC Education High School Diploma or GED (REQUIRED) Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is $18.50 - $31.72 per hour. 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. Benefits This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. Benefits include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. #J-18808-Ljbffr