Care Management Specialist

$21.10 - $36.78 / hour

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. Job Purpose and Summary As an essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the care of our members, particularly those with social determinants of health (SDoH) needs and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager, Care Coordinator, Social Worker, and other interdisciplinary care team participants to support the member in maintaining optimal health. This is achieved by evaluating the members’ needs through the completion of the annual Health Risk Assessment Survey, addressing SDoH needs, and closing gaps in preventative and health maintenance care. Key Responsibilities Telephonic Engagement: Dedicate 50-75% of the day to engaging with members and coordinating their care. Member Outreach: Utilize all available resources to connect with and engage “hard-to-reach” members. Care Planning: Partner with members to develop individualized care plans that encompass goals and interventions to meet their identified needs. Documentation: Maintain meticulous documentation of care management activities in the member’s electronic health record. Collaboration: Work with the Interdisciplinary Care Team to address barriers to care and develop strategies for maintaining the member’s stable health condition. Resource Connection: Identify and connect members with health plan benefits and community resources. Regulatory Compliance: Meet regulatory requirements within specified timelines. Consults with the Care Manager RN within the Care Team for clinical knowledge, medication regimes, and supportive clinical decision making Collaborates and leverages the Care Manager RN clinical expertise to ensure members’ needs are adequately addressed. Additional Responsibilities: Support team objectives, enhance operational efficiency, and ensure delivery of high-quality care to members. This may include participating in special projects, contributing to process improvement initiatives, or assisting with mentoring new team members. Essential Competencies and Functions Performance Metrics: Ability to meet performance and productivity metrics, including call volume, successful member engagement, and state/federal regulatory requirements. Professional Conduct: Conduct oneself with integrity, professionalism, and self-direction. Care Management Knowledge: Experience or willingness to thoroughly learn the role of care management within Medicare and Medicaid managed care. Community Resources: Familiarity with community resources and services. Healthcare Technology: Ability to navigate and utilize various healthcare technology tools to enhance member care, streamline workflows, and maintain accurate records. Collaboration: Maintain strong collaborative and professional relationships with members and colleagues. Communication Skills: Communicate effectively, both verbally and in writing. Customer Service: Excellent customer service and engagement skills. Required Qualifications 2+ years of experience in a health-related field 2+ years of customer service experience Technical Proficiency: Proficient in Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams) and ability to effectively utilize these tools within the CMS role. Work Environment: Access to a private, dedicated space to conduct work effectively to meet the requirements of the position. Preferred Qualifications Experience providing care management for Medicare and/or Medicaid members Experience working with individuals with SDoH needs, chronic medical conditions, and/or behavioral health Experience conducting health-related assessments and facilitating the care planning processes Bilingual skills, especially English-Spanish Education Required: Associate’s degree with relevant experience in a health care-related field Or Practical Nurse degree/certificate with active state licensure. Preferred: Bachelor’s degree in healthcare or a related field Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $21.10 - $36.78 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: 04/08/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Care Management Specialist

CVS Health MO

$21.10 - $36.78 / hour

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. Job Purpose and Summary As an essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the care of our members, particularly those with social determinants of health (SDoH) needs and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager, Care Coordinator, Social Worker, and other interdisciplinary care team participants to support the member in maintaining optimal health. This is achieved by evaluating the members’ needs through the completion of the annual Health Risk Assessment Survey, addressing SDoH needs, and closing gaps in preventative and health maintenance care. Key Responsibilities Telephonic Engagement: Dedicate 50-75% of the day to engaging with members and coordinating their care. Member Outreach: Utilize all available resources to connect with and engage “hard-to-reach” members. Care Planning: Partner with members to develop individualized care plans that encompass goals and interventions to meet their identified needs. Documentation: Maintain meticulous documentation of care management activities in the member’s electronic health record. Collaboration: Work with the Interdisciplinary Care Team to address barriers to care and develop strategies for maintaining the member’s stable health condition. Resource Connection: Identify and connect members with health plan benefits and community resources. Regulatory Compliance: Meet regulatory requirements within specified timelines. Consults with the Care Manager RN within the Care Team for clinical knowledge, medication regimes, and supportive clinical decision making Collaborates and leverages the Care Manager RN clinical expertise to ensure members’ needs are adequately addressed. Additional Responsibilities: Support team objectives, enhance operational efficiency, and ensure delivery of high-quality care to members. This may include participating in special projects, contributing to process improvement initiatives, or assisting with mentoring new team members. Essential Competencies and Functions Performance Metrics: Ability to meet performance and productivity metrics, including call volume, successful member engagement, and state/federal regulatory requirements. Professional Conduct: Conduct oneself with integrity, professionalism, and self-direction. Care Management Knowledge: Experience or willingness to thoroughly learn the role of care management within Medicare and Medicaid managed care. Community Resources: Familiarity with community resources and services. Healthcare Technology: Ability to navigate and utilize various healthcare technology tools to enhance member care, streamline workflows, and maintain accurate records. Collaboration: Maintain strong collaborative and professional relationships with members and colleagues. Communication Skills: Communicate effectively, both verbally and in writing. Customer Service: Excellent customer service and engagement skills. Required Qualifications 2+ years of experience in a health-related field 2+ years of customer service experience Technical Proficiency: Proficient in Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams) and ability to effectively utilize these tools within the CMS role. Work Environment: Access to a private, dedicated space to conduct work effectively to meet the requirements of the position. Preferred Qualifications Experience providing care management for Medicare and/or Medicaid members Experience working with individuals with SDoH needs, chronic medical conditions, and/or behavioral health Experience conducting health-related assessments and facilitating the care planning processes Bilingual skills, especially English-Spanish Education Required: Associate’s degree with relevant experience in a health care-related field Or Practical Nurse degree/certificate with active state licensure. Preferred: Bachelor’s degree in healthcare or a related field Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $21.10 - $36.78 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: 04/08/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Nurse Practitioner or Physician Assistant – Imaging Services, Richmond Heights

Mercy Clayton, MO

Find your calling at Mercy! Mercy is currently seeking an Advanced Practitioner to join our Imaging Services team at Mercy Imaging Richmond Heights. This team consists of physicians, advanced practitioners and an engaged support staff focused on quality patient care. Full-time position, day shift schedule 4 10 hour shifts No weekend or call requirement Responsible for the medical care and supervision of Imaging contrast media associated reactions Assisting the radiology technologists in non-contrast related medical issues that arise in the course of imaging Reaching out to breast center patients to educate on next steps Evaluating CT lung cancer screening orders Reaching out to Interventional Radiology patients after their procedure to ensure appropriate care and answer any questions System-wide Epic EMR This Position Offers: Integrated health system with a competitive compensation including annual market reviews Comprehensive, day one benefits including health, dental, vision and CME for full-time and part-time providers Retirement plans available with employer contribution and matching options Professional liability coverage provided As a not-for-profit system, Mercy qualifies for Public Service Loan Forgiveness (PSLF) Your life is our life’s work At Mercy, you can lead the way. Join a team where your passion for patient care meets cutting-edge innovation. As part of an organization rooted in nearly 200 years of compassionate service, you’ll help deliver transformative health care experiences while exploring new technologies and shaping the future of medicine. What sets us apart is our unwavering commitment to physician leadership—from the highest levels of our organization to the front lines of care—where physicians and caregivers collaborate, embrace fresh thinking, and drive clinical and operational excellence. If making a difference in your community is why you chose health care, Mercy is where your purpose meets possibility. For more information, please contact Paige Kniepmann. Telephone: 314-364-8318 | Email: paige.kniepmann@mercy.net

APRN | Nurse Practitioner/Physician Assistant UF Medical Group Surgical Specialists | FT

UF Health Leesburg, FL

Overview Since the doors opened more than 59 years ago, UF Health Leesburg Hospital has continued to build upon its reputation as a leading medical center and the most comprehensive provider of health care services in the region. The hospital offers advanced cardiovascular care, including one of the largest open-heart programs in Florida. The American College of Cardiology has recognized UF Health Leesburg Hospital for its demonstrated expertise and commitment in treating patients with chest pain by awarding a Chest Pain Center Accreditation with Primacy PCI and Resuscitation — its highest and best level of accreditation. The hospital also offers world-class orthopedics, minimally invasive robotic surgery, life-saving emergency care, stroke treatment, labor & delivery, and so much more. Responsibilities Provides comprehensive healthcare to patients in collaboration with physicians and other medical staff in a clinic setting, including medical evaluation, treatment, counseling and referrals. Clinic Location: 705 Doctors Court, Leesburg, FL 34748 Qualifications Education Graduate Degree Licensure/Certification/Registration BLS ACLS State of FL ARNP license Special Skills/Qualifications/Additional Training/Experience Required Must be able to read, write, speak and understand English

Advanced Practice Provider, Cardiology

Cottage Health Solvang, CA

$147,428 - $221,143 / year

Job Description Cottage Clinical Associates seeks an Advanced Practice Provider for the Cottage Cardiology Clinic Santa Ynez clinic to provide direct patient care to assigned patients within Cottage Medical Group (CMG). This role functions independently and in collaboration with the supervising clinic physician(s) and leadership in the delivery of patient care. Assesses, interprets, and integrates findings to determine appropriate diagnostic, educational and therapeutic management plans for patients. QUALIFICATIONS: All job qualifications listed indicate the minimum level necessary to perform this job proficiently. Education : Minimum: PHYSICIAN ASSISTANT : Graduate of an accredited Physician Assistant program, as defined by the California Physician Assistant Board. Master’s degree or certificate from a specialized medical training program associated with a medical school that includes classroom students and clinical experience. NURSE PRACTITIONER : Master of Nursing Degree. Graduate of an accredited Nurse Practitioner program approved by the California Board of Registered Nursing as defined in Section 1482, Nurse Practice Act, Business and Professional Code. Certifications, Licenses, Registrations: Minimum: PHYSICIAN ASSISTANT : Valid California license as a Physician Assistant by the Physician Assistant Board; National certification granted after passing the PA National Certifying Exam administered by the National Commission on Certification of Physician Assistants; Valid Drug Enforcement Agency license - DEA Schedule 2-5; American Heart Association (AHA) Basic Life Support (BLS) for Health Care Providers. NURSE PRACTITIONER : Current State of California Registered Nurse license. Current California Licensure and Certificate to practice as a Nurse Practitioner issued by the California State Board. Board Certified as a Family Nurse Practitioner or Emergency Nurse Practitioner. California Furnishing License - Controlled Substances II Valid Drug Enforcement Agency license - DEA Schedule 2-5 American Heart Association (AHA) Basic Life Support (BLS) for Health Care Providers. Technical Requirements: Minimum: Knowledge of the specific practice specialty. Knowledge of medical terminology. Knowledge of Epic. Ability to maintain effective and organized systems to ensure timely patient flow. Years of Related Work Experience: Minimum: Two (2) years of experience as a Physician Assistant OR a Nurse Practitioner or Two (2) years of experience specific to the practice specialty of the assigned clinic. Preferred: Two (2) years of experience as a Physician Assistant OR a Nurse Practitioner in the area of the clinic specialty and in an outpatient setting. Typical work scenarios require specialized knowledge, critical thinking, good judgment based upon the principles of biological, physiological, behavioral, and sociological sciences skills, as well as strong customer service skills. Internal contacts include ancillary services departments, clinic staff, supervising physician(s) as well as other physicians, and management throughout CCA. External contacts include patients, physicians, outside medical staff, and community resource services. About Us Cottage Health is a leading acute care hospital system, located on the central coast of California, widely known for our superior patient care, innovation, medical research and education. Our health system operates primarily in Santa Barbara, CA, since 1888, and consists of three acute care hospitals, a Rehabilitation Hospital, multiple clinics and a multi-site Urgent Care system. Our mission is to serve the central coast communities with excellence, integrity, and compassion. Every day we touch thousands of lives in many different ways, resolute in our mission to put patients first. We take pride in helping our patients get back to living their lives - in the places they love. Cottage Health is an Equal Opportunity Employer. Cottage Health applicants are considered solely based on their qualifications, without regard to race, color, ethnicity, religion, age, gender, transgender, gender expression and identity, national origin, ancestry, disability, sexual orientation, marital status, military status or any other classification protected by law. This policy applies to all aspects of the relationship between Cottage Health and an applicant or employee. Cottage Health is committed to upholding discrimination-free hiring practices. We strive to cultivate an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work. Any Cottage Health applicants who require assistance or reasonable accommodations during the application process may request the need for accommodation with the Recruiter. Pay for non-physician positions is determined based on related years of experience and internal equity. Eligible employees may also receive additional forms of compensation, including shift differentials, on-call pay, incentive pay, and bonus opportunities, where applicable. Manager and above positions may participate in Cottage Health’s annual management incentive program. Physician compensation is determined based upon specialty and may include bonus potential. For more information on our comprehensive Total Rewards offerings, please visit https://cottagehealth.org/careers/total-rewards . If you're already a Cottage Health employee, please apply on this link only.

Nurse Practitioner or Physician Assistant - Family Medicine - St. James, MO

Find your calling at Mercy!

This Position Offers:

Your life is our life’s work

Related Jobs

Care Management Specialist

Care Management Specialist

Nurse Practitioner or Physician Assistant – Imaging Services, Richmond Heights

APRN | Nurse Practitioner/Physician Assistant UF Medical Group Surgical Specialists | FT

Advanced Practice Provider, Cardiology