Job Information
CVS Health Case Manager Assistant (Mercy Care - Arizona) in Work at Home, Arizona
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.
Position Summary
The Case Manager Assistant is a work from home opportunity, supporting Case Managers with comprehensive coordination of services and follow up support to ALTCS ( Arizona Long Term Care System ) membership.
What you will do:
Outreach to members and providers for care coordination.
Make appropriate referrals to medical services staff and coordinate the required services in accordance with the benefit plan.
Utilize Dynamo, QNXT, and other Aetna systems to build, research, and enter member information as needed.
Coordinate and arrange for health care service delivery under the direction of the case manager (in the most appropriate setting, at the most appropriate expense) by identifying opportunities for the ALTCS member to utilize participating providers and services.
Promote communication, both internally and externally, to enhance effectiveness of service delivery.
Perform non-medical research pertinent to the establishment, maintenance, and closure of open cases.
Provide support services to team members by answering telephone calls, taking messages, researching information, and assisting in solving problems.
Adhere to compliance with AHCCCS ( Arizona Health Care Cost Containment System ) AM/PM ( AHCCCS Medical Policy Manual) and Regulatory Standards.
Maintain accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements.
Protect the confidentiality of member information and adhere to company policies regarding confidentiality.
Support the case manager with post hospital follow-up and placement changes.
Comfortable with long periods of sitting, as well as telephonic and computer work.
Perform other duties as needed.
Required Qualifications
2+ years of experience in healthcare, as well as customer service, telemarketing, and/or sales.
1+ years of experience with computers, including knowledge of Microsoft Word, Outlook, Teams and Excel.
Must reside in Arizona.
Willingness to travel up to 10% of time within Maricopa, Pima, Pinal, and Gila Counties.
Preferred Qualifications
Strong organizational skills, with an ability to prioritize tasks to meet time-sensitive deadlines.
Effective verbal and written communications skills with both customers and teammates.
Experience with data entry and documentation within member records.
Proficiency in typing for keying in information and navigating in multiple systems.
Ability to work independently with remote support.
Excellent attendance record.
Experience working with people who have been designated as having a serious mental illness ( SMI ) and working with people who are elderly or have a physical disability.
Experience collaborating with medical professionals.
Knowledge of ALTCS ( Arizona Long Term Care System ).
Medical office experience and/or medical terminology knowledge.
Education
- High school diploma or GED.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$18.50 - $35.29
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.
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. 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 (https://learn.bswift.com/cvshealth-mainland) .
We anticipate the application window for this opening will close on: 04/28/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran — committed to diversity in the workplace.