Case Management Coordinator Telephonic & Community
CVS Health · Centralia, WA
Job description
Case Management Coordinator We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Program Overview: Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. Position Summary/Mission: The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process, The Case Management Coordinator facilitates appropriate healthcare outcomes for members by aiding with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources. Key Responsibilities • Evaluation of Members: Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member's needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. • Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. • Coordinates and implements assigned care plan activities and monitors care plan progress. • Enhancement of Medical Appropriateness and Quality of Care: Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes. • Identifies and escalates quality of care issues through established channels. • Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs. • Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health. • Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices. • Helps member actively and knowledgably participate with their provider in healthcare decision-making. • Monitoring, Evaluation and Documentation of Care: Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. • Remote Work Expectations • 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. • Interacts with members/clients telephonically or in person. May be required to meet with members/clients in their homes, worksites, or physician's office to provide ongoing case management services. • Colleague may be required to travel up to 25-50% of the time based on member/customer-specific needs. • Ability to travel within a designated geographic area for in-person case management activities as directed by Leadership and/or as business needs arise Required Qualifications • Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health or human services required (nursing, psychology, social work, marriage and family therapy, counseling). • Must have computer literacy in order to navigate through internal/external computer systems, including Excel and Microsoft Word. Preferred Qualifications • Case management and discharge planning experience preferred • 2 years' experience in behavioral health, social services or appropriate related field equivalent to program focus • Managed Care experience preferred • Effective communication, telephonic and organization skills • Excellent analytical and problem-solving skills • Ability to work independently • Ability to effectively participate in a multi-disciplinary team including internal and external participants. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $21.10 - $44.99 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.
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No Experience Needed - Remote Customer Service Rep
AO Globe Life · Centralia, WA
Empower Members. Protect Legacies. About Us AO Globe Life has a 70-year legacy of delivering exceptional service and trusted insurance solutions to veterans, labor union members, credit union members, and their families. We pride ourselves on offering expert guidance and support, ensuring our members secure the life insurance and supplemental benefits they need to protect their loved ones and build lasting legacies. We are seeking driven and service-oriented professionals to join our team as Remote Insurance Specialists. This role provides a unique opportunity to make a meaningful impact while benefiting from the flexibility and earning potential of a remote work environment. What We Offer • Fully Remote Position - Enjoy the freedom to work from anywhere. • Six-Figure Earning Potential - Competitive, uncapped commissions. • Exclusive Warm Leads - No cold calling; leads are provided from our extensive membership database. • No Overhead Costs - Focus on what matters most-our members. • Top Performance Incentives - Recognition and rewards for outstanding results. • Union Membership - OPEIU Local 277. • Established Stability - Be part of a 70-year-old organization with a strong commitment to member satisfaction and legendary service. Key Responsibilities • Engage with members through daily calls, leveraging our warm lead database. • Assess financial needs and recommend tailored insurance and supplemental benefits solutions. • Deliver exceptional customer service to ensure member satisfaction and retention. • Guide members through the application process, addressing questions and concerns promptly. • Provide ongoing policy support, including policy reviews, beneficiary updates, and claims assistance. • Maintain compliance with all regulatory and ethical standards in life insurance sales and servicing. Ideal Candidate Profile • Strong communication skills, both written and verbal. • Proficient in organization, time management, and computer-based tools. • Self-motivated, detail-oriented, and driven to exceed sales goals. • Demonstrated sales experience (preferred). • Ability to qualify for a Life Insurance License. • Competitive mindset with excellent problem-solving and critical-thinking skills. • Comfortable working independently and collaboratively in a remote team environment. • Open to feedback, coachable, and eager to implement constructive advice. Eligibility Requirements • Must be a U.S. citizen or legally authorized to work in the United States. • We are currently unable to hire non-U.S. residents. This role offers an exceptional opportunity to combine your passion for helping others with a lucrative, rewarding career. If you're ready to take your skills to the next level and make a lasting difference in the lives of others, we encourage you to apply today.
Job Title: REMOTE Customer Service Representative (Pharmaceutical Company) Job Type: Full-Time Location: REMOTE Schedule: 40 hours per week (CST TIME) / day shift 930am - 6pm CST Compensation: Up to $17.50-18 per hour Have to take a typing test, 40 WPM Needed!! Job Summary We are seeking a dedicated and patient-focused Customer Service Representative to support the daily operations of a fast-paced call center environment. In this role, you will assist patients with their prescription needs, provide education on medications and pricing, and ensure a seamless and supportive ordering experience. This position requires strong communication skills, attention to detail, and a commitment to delivering exceptional service to ensure no patient is left behind. This organization partners with healthcare providers to help patients access affordable medications delivered directly to their homes, particularly when prescriptions may no longer be covered by insurance. Key Responsibilities Patient Support & Communication • Manage inbound and outbound calls in a professional and timely manner • Provide clear, empathetic communication while following established guidelines • Educate patients on prescriptions, pricing, and the ordering process • Identify patient needs and provide accurate solutions or alternatives • Build strong, trust-based relationships through high-quality customer care Order Processing & Documentation • Accurately process prescription orders • Maintain detailed documentation of patient interactions in the system • Ensure compliance with company policies and procedures • Research and resolve order discrepancies or account concerns Performance & Team Collaboration • Meet individual and team qualitative and quantitative goals • Contribute to a collaborative, goal-oriented team environment • Participate in call quality reviews, coaching sessions, and feedback discussions • Support the mission of ensuring every patient receives the support they need Continuous Improvement & Training • Attend training sessions to enhance product knowledge and service skills • Apply coaching and feedback to improve performance • Stay current on workflow updates, policy changes, and system enhancements Qualifications • Previous customer service or call center experience preferred • Strong phone presence and active listening skills • Excellent verbal communication skills with a professional and empathetic tone • Ability to multitask, prioritize responsibilities, and manage time effectively • Customer-focused mindset with adaptability to different personalities • Comfortable working in a performance-driven environment • Basic computer proficiency and accurate data entry skills Compensation & Benefits • Health, Dental, and Vision Insurance • 401(k) with company matching • Paid Time Off and Holidays • Flexible Spending Account (FSA) • Employer-Paid Life Insurance • Ongoing Training & Development Programs Work Environment • Full-time position • In-office training required for a minimum of one month (if local) • Eligible for hybrid remote schedule after successful completion of training (typically 90 days) If you are passionate about helping others and thrive in a structured, goal-oriented environment, we encourage you to apply today. #KHOK
BMV Call Center Representative
State of Indiana · Centralia, WA
Work for Indiana Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most importantly, you'll have the chance to make a real and measurable impact on the lives of Hoosiers across Indiana. About the Bureau of Motor Vehicles (BMV): The Bureau of Motor Vehicles delivers exceptional, customer focused services built on choice, innovation, and genuine care. We strive to be a trusted partner to every Hoosier by investing in our people, fostering growth, and developing future leaders who drive excellence and a strong culture of service. Role Overview: Customer Service Representatives are the frontline contact for the Bureau of Motor Vehicles. You will provide timely and accurate customer service utilizing good communication skills, computer skills, and on-the-job training. You will assist Hoosiers with a broad scope of BMV needs. This position operates on a fully remote schedule. You will be required to meet minimum internet speed requirements, including upload and download speeds. During the onboarding and orientation process, you will be required to report to a BMV location near you to collect the necessary equipment. Please note that there is always the potential for required in-office hours if need arises. Salary: The salary for this position traditionally starts at $29,588.00 but may be commensurate with education and work experience. Use our Compensation Calculator to view the total compensation package. A Day in the Life: The essential functions of this role are: • Use your job knowledge to conduct customer transactions. • Answer customer questions and provide guidance. • Assist with the daily opening and closing of the branch. • Check transactions to ensure accuracy, timeliness, and proper accounting. • Work with leadership to resolve escalated customer concerns and system problems. • File applications as completed throughout the day. The job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Other duties, responsibilities, and activities may change or be assigned at any time. What You'll Need for Success: Individuals in this role should minimally be able to articulate or demonstrate the following: • Top-notch communication skills. • A high level of critical thinking and the ability to troubleshoot. • Ability to process cash and card transactions. • Ability to travel up to 20 percent of the time to branch. locations, training, or branch-related community activities. • Ability to perform essential functions with or without reasonable accommodation. A degree is not required. However, a High School Diploma or High School Equivalent (HSE) and customer service experience applying the outlined knowledge, skills, and abilities in a similar role may be considered. Supervisory Responsibilities/Direct Reports: This role may be utilized in a supervisory capacity based on agency needs. Benefits of Employment with the State of Indiana: The State of Indiana offers a comprehensive benefits package for full-time employees that includes: • Three (3) medical plan options (including RX coverage) as well as vision and dental plans • Wellness Rewards Program: Complete wellness activities to earn gift card rewards • Health savings account, which includes bi-weekly state contribution • Deferred compensation 457(b) account (similar to 401(k) plan) with employer match • Two (2) fully-funded pension plan options • A robust, comprehensive program of leave policies covering a variety of employee needs, including but not limited to: • 150 hours of paid New Parent Leave and up to eight weeks of paid Childbirth Recovery Leave for eligible mothers • Up to 15 hours of paid community service leave • Combined 180 hours of paid vacation, personal, and sick leave time off • 12 paid holidays, 14 in election years • Education Reimbursement Program • Group life insurance • Referral Bonus program • Employee assistance program that allows for covered behavioral health visits • Qualified employer for the Public Service Loan Forgiveness Program • Free Parking for most positions • Free LinkedIn Learning access Equal Employment Opportunity: The State of Indiana is an Equal Opportunity Employer and is committed to recruiting, selecting, developing, and promoting employees based on individual ability and job performance. Reasonable accommodations may be available to enable individuals with disabilities to complete the application and interview process as well as perform the essential functions of a role. If you require reasonable accommodations to complete this application, you can request assistance by contacting the Indiana State Personnel Department at jobs@spd.IN.gov. Current Employee? Click here to apply.