Remote Case manager Jobs in Raleigh, NC

Absence Management Case Manager

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary : Accountable for the delivery of outstanding Absence Management and related Colleague Services through a strong commitment to colleague experience. The Case Manager, Enterprise Absence Management will be responsible for using the CVS Health myLeave absence platform as well as other HR systems to administer FMLA, State regulations and Company leave policies from the start of a leave request through the return to work.

Job Description :

Support a service delivery model that reflects empathy and care for all colleagues and fosters an environment focused on the colleague experience.

Administer leave of absence requests under FMLA, State regulations and Company leave policies in accordance with federal and state regulations.

Utilize the myLeave system for leave of absence to ensure tasks and cases are completed according to federal and state regulations.

Review and analyze leave of absence requests that are not eligible for FMLA, State and / or Company leave policies to determine if the ADA is applicable. If request for a leave of absence requires a review for the ADA, update and assign the case for Reasonable Accommodation review.

Research and resolve tier 2 escalations and ensure the outcome and updates are documented and communicated timely.

Review, calculate and submit payment of paid time off for leave requests in accordance with FMLA, State regulations and Company leave policies.

Review, calculate and submit payment of the CVS Health Paid Parental Leave according to the policy.

Conduct colleague outreach calls at the start of a new leave request and at key intervals throughout the leave process to ensure colleague support through the leave.

Communicate with colleagues, leaders, and other key stakeholders to assist with questions on leave administration.

Work collaboratively with members of the LOA Team to ensure compliance, completing goals and putting the customer first.

All other leave of absence case management duties assigned by Case Management Lead and / or other key members of the myLeave team.

A strong commitment to Customer Service as exemplified by behaviors and disposition.

Ability to work independently and as part of a team environment.

Excellent written, verbal and listening skills to reflect a friendly, positive disposition.

Demonstrated ability to maintain work in the strictest of confidence.

Demonstrated ability to problem solve and apply critical thinking skills, including the ability to think analytically and creatively, under pressure, to solve problems.

Strong organizational and data entry skills with a strict attention to detail.

Ability to plan and prioritize workloads, both independently and in a team environment with minimal supervision.

Demonstrated ability to think strategically and creatively toward continuous improvement of operations both technically and functionally.

Ability to consistently and efficiently follow through on problems to provide resolution that is satisfactory to the customer.

Demonstrated ability to multi-task while consistently meeting deadlines.

Proficiency with MS Office Products.

Regular and predictable attendance is required.

Minimum internet connection of 25 Mbps download speed and 3 Mbps upload speed required.

Required Qualifications :

1+ year of customer service or office experience.

Preferred Qualifications :

FMLA, State Leaves, Disability, or HR experience.

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 - $42.35.

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.

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.

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.

We anticipate the application window for this opening will close on : 12 / 24 / 2025.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex / gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.