Resolution Coordinator Contact Center Operations – CAB

Job Responsibilities: Case Management Coordinator

Salary: $25-35/Hour

Company: CVS Health

Location: Delaware, USA

Educational Requirements: Bachelor Degree

Full Job Description:-

Bring your coronary heart to CVS Health. Every one folks at CVS Health stocks a single, clean cause: Bringing our coronary heart to each second of your fitness. This course shows our dedication to supplying better human-centric fitness to take care of a hastily converting world. Anchored in our brand — with coronary heart at its center — our cause sends a non-public message that how we supply our offerings is simply as essential as what we supply. Resolution Coordinator Contact Center Operations

Our Heart At Work Behaviors™ help this cause. We need all people who work at CVS Health to experience empowerment through the position they play in reworking our tradition and accelerating our potential to innovate and supply answers to make fitness care greater non-public, handy and affordable. Resolution Coordinator Contact Center Operations

This is a full-time telework role.

Position Summary

Help us raise our affected person care to an entire new degree! Join our Aetna group as an enterprise chief in serving twin eligible populations through using best-in-magnificence running and medical models. You could have life-converting effect on our Dual Eligible Special Needs Plan (DSNP) individuals, who’re enrolled in Medicare and Medicaid and gift with a huge variety of complicated fitness and social challenges. With compassionate interest and wonderful communication, we collaborate with individuals, providers, and network companies to cope with the total continuum of our individuals’ fitness care and social determinant desires. Join us on this thrilling possibility as we develop and amplify DSNP to alternate lives in new markets throughout the country. Resolution Coordinator Contact Center Operations

Position Summary/Mission: The Case Management Coordinator makes use of vital questioning and judgment to collaborate and tell the case control process, The Case Management Coordinator allows suitable healthcare consequences for individuals through offering help with appointment scheduling, figuring out and supporting with gaining access to advantages and schooling for individuals thru the usage of care control gear and resources. Resolution Coordinator Contact Center Operations

Fundamental Components

Evaluation of Members: -Through the usage of care control gear and data/information evaluation, conducts complete assessment of referred member’s desires/eligibility and recommends an method to case decision and/or assembly desires through comparing member’s gain plan and available inner and outside applications/offerings.
Identifies excessive threat elements and provider desires that could effect member consequences and care making plans additives with suitable referral to medical case control or disaster intervention as suitable.
Coordinates and implements assigned care plan sports and video display units care plan progress.
Enhancement of Medical Appropriateness and Quality of Care: – Using holistic method consults with case managers, supervisors, Medical Directors and/or different fitness applications to conquer obstacles to assembly dreams and objectives; affords instances at case meetings to reap multidisciplinary evaluation that allows you to reap most excellent consequences.
Identifies and escalates best of care problems thru hooked up channels. Resolution Coordinator Contact Center Operations
Utilizes negotiation capabilities to steady suitable alternatives and offerings vital to fulfill the member’s advantages and/or healthcare desires.
Utilizes influencing/ motivational interviewing capabilities to make certain most member engagement and sell way of life/conduct modifications to reap greatest degree of fitness.
Provides coaching, data and help to empower the member to make ongoing impartial clinical and/or wholesome way of life choices.
Helps member actively and knowledgably take part with their company in healthcare decision-making.
Monitoring, Evaluation and Documentation of Care: – Utilizes case control and best control strategies in compliance with regulatory and accreditation hints and agency guidelines and procedures.

Required Qualifications

2+ years enjoy in behavioral fitness, social offerings or suitable associated discipline equal to software focus
Managed Care enjoy preferred, Resolution Coordinator Contact Center Operations

Preferred Qualifications

Case control and discharge making plans enjoy preferred

Education

Bachelor’s diploma or non-certified grasp degree clinician with both diploma being in behavioral fitness or human offerings preferred (psychology, social work, marriage and own circle of relatives therapy, counseling) or equal enjoy. Resolution Coordinator Contact Center Operations

Pay Range

The traditional pay variety for this position is:

$25.00 – $35.00

This pay variety represents the bottom hourly price or base annual complete-time income for all positions withinside the task grade inside which this role falls. The real base income provide will rely upon a range of things consisting of enjoy, schooling, geography and different applicable factors. This role is eligible for a CVS Health bonus, fee or short-time period incentive software similarly to the bottom pay variety indexed above. Resolution Coordinator Contact Center Operations

In addition on your compensation, revel in the rewards of an enterprise that places our coronary heart into worrying for our colleagues and our communities. The Company gives a complete variety of medical, dental, and imaginative and prescient benefits. Eligible personnel can also additionally join withinside the Company’s 401(k) retirement financial savings plan, and an Employee Stock Purchase Plan is likewise to be had for eligible personnel. The Company gives a fully-paid time period existence coverage plan to eligible personnel, and short-time period and long time incapacity benefits. CVS Health additionally gives severa health applications, schooling assistance, unfastened improvement courses, a CVS save bargain, and bargain applications with taking part partners. As for day off, Company personnel revel in Paid Time Off (“PTO”) or holiday pay, in addition to paid vacations during the calendar year. Number of paid vacations, ill time and different day off are furnished steady with applicable nation regulation and Company policies. Resolution Coordinator Contact Center Operations

Benefits:

Medical and prescription (in case you work 30+ hours in step with week), unfastened preventive care and annual CVS Health contributions in HSA-eligible plan options
Dental Insurance
Vision Insurance
Supplemental fitness plans: accident, essential illness, sanatorium indemnity
Fixed indemnity plan (in case you work 12-29 hours in step with week): coins blessings for physician visits, prescriptions and more
CVS Pharmacy prescription discounts
Thrive wellness platform to lessen stress, sharpen your consciousness and enhance your standard wellness
Paid time off
Support for you and your cherished ones
Tuition help and reimbursement
Career and cross-schooling opportunities
Colleague Education Program and Partnerships
401(k) financial savings plan with $-for-$ organization healthy as much as 5%, after twelve months of the carrier with a minimum of 1,000 hours
Employee Stock Purchase Plan with 10% discount
Resolution Coordinator Contact Center Operations

While the specific rules and responsibilities of companies in the United States can vary depending on factors such as industry, size, and location, there are some common rules and responsibilities that many companies adhere to. Here are a few examples:

Compliance with labor laws: Companies in the United States are required to comply with various labor laws, such as the Fair Labor Standards Act (FLSA), which establishes minimum wage, overtime pay, and child labor standards. They must also adhere to laws related to workplace safety and health, including the Occupational Safety and Health Act (OSHA).
Equal employment opportunity: Companies are expected to provide equal employment opportunities to all individuals, regardless of their race, color, religion, sex, national origin, age, disability, or genetic information. This includes complying with laws such as Title VII of the Civil Rights Act of 1964 and the Americans with Disabilities Act (ADA).
Payroll and tax obligations: Companies are responsible for properly handling payroll, including calculating and withholding taxes from employees’ wages, and submitting the required tax payments to federal, state, and local tax authorities. They must also provide employees with necessary tax forms, such as W-2s.
Workplace safety and security: Companies must provide a safe and secure work environment for their employees. This includes implementing safety protocols, providing necessary safety training, maintaining equipment and facilities, and addressing potential hazards.
Non-discrimination and harassment policies: Many companies have policies in place to prevent discrimination and harassment in the workplace. These policies often include procedures for reporting and addressing complaints, as well as consequences for violators.
Privacy and data protection: Companies are expected to handle the personal and sensitive information of their employees and customers responsibly. This may involve implementing measures to protect data privacy, complying with applicable data protection laws, and informing individuals about the collection, use, and storage of their personal information.
Ethical conduct and corporate social responsibility: Companies are encouraged to conduct their business ethically and responsibly. This may include promoting fair trade practices, adhering to environmental regulations, supporting social causes, and practicing transparency in their operations.

Resolution Coordinator Contact Center Operations – CAB