Care Management Coordinator – Field

Jobtailor; Tiffin (OH); On-site; USD 45,000 - 65,000; Full time

Job summary

Jobtailor in Ohio seeks a Care Manager to evaluate members’ needs, plan care, and coordinate services across multiple systems. You will assess benefits, identify risks, and collaborate with medical directors to overcome barriers and promote positive outcomes.

This role requires 2+ years in behavioral health or social services, residence in Ohio, and willingness to travel 50%+ within the region. Strong MS Office, SharePoint, and discharge planning experience are essential.

Qualifications

• Bachelor's degree in behavioral health or related field.
• Master's-level clinician (non-licensed) preferred.
• Residence in Ohio and willingness to travel within Northeast Ohio.
• Experience in case management and discharge planning.
• Knowledge of Medicaid and managed care.
• Strong MS Office and SharePoint skills.
• Experience with multi-system navigation in public/human services.

Responsibilities

• Evaluate members' needs and eligibility.
• Assess benefit plans and programs to propose resolutions.
• Identify risk factors affecting outcomes and care planning.
• Coordinate and monitor care-plan activities.
• Collaborate with case managers, Medical Directors, and health programs.
• Present cases at multidisciplinary conferences.
• Travel to member homes in Northeast Ohio.

Skills

Case Management

Quality Management

Behavioral Health

Child and Family Counseling

Discharge Planning

Medicaid Knowledge

Managed Care Experience

Multi-System Navigation

MS Office Suite

Data Evaluation

Coaching

Communication

Collaboration

Negotiation

Problem-Solving

Education

Bachelor's Degree in Behavioral Health

Master's-Level Clinician (Non-Licensed)

Tools

MS Office Suite

SharePoint

Electronic Health Records

Job description

Responsibilities

• Conduct comprehensive evaluations of referred members' needs and eligibility
• Evaluate benefit plans and internal and external programs/services to recommend case-resolution approaches
• Identify high-risk factors and service needs affecting member outcomes and care planning
• Coordinate and implement assigned care-plan activities and monitor progress
• Consult with case managers, supervisors, Medical Directors, and health/behavioral health programs to overcome barriers
• Present cases at case conferences for multidisciplinary review
• Collaborate with members' Child and Family Teams
• Identify and escalation quality-of-care issues
• Negotiate appropriate options and services to meet members' benefits and healthcare needs
• Use motivational interviewing and influencing skills to engage members and promote behavior changes
• Provide coaching, information, and support for independent medical and healthy-lifestyle choices
• Help members participate knowledgeably in healthcare decision-making with providers
• Serve as a single point of contact and address immediate gaps in care and access
• Apply case management and quality management processes in compliance with regulatory, accreditation, and company requirements
• Travel to member homes and other member locations within Northeast Ohio

Requirements

• 2+ years of experience in behavioral health, social services, or human services
• 2+ years of experience with personal computers, keyboard and multi-system navigation, and MS Office Suite applications (Outlook, Word, Excel, SharePoint)
• 2+ years of experience in children's mental health, child welfare, developmental disabilities, juvenile justice, or public sector human services or behavioral health care, providing community-based services to children and youth and their family/caregivers
• 2+ years of experience in family systems, community systems and resources, case management, child and family counseling/therapy, child protection, or child development
• 2+ years of experience with Ohio delivery systems, including local community networks and resources
• Willing and able to travel within the assigned region 50% of the time or more
• Some travel to the New Albany office may be required for trainings/meetings
• Reliable transportation required
• Willing and able to work beyond Monday-Friday, 8am-5pm, as needed
• Bachelor's degree or non-licensed master's-level clinician required, in behavioral health, human services, health services, or public health
• Candidates must reside in Ohio; candidates in the Northeast region or adjacent counties are eligible, with preference for Seneca, Lorain, Medina, Wyandot, or Crawford County
• Case management and discharge planning experience preferred
• Managed Care experience preferred
• Medicaid experience preferred

Core Competencies

Demonstrates expertise in case management and quality management processes, with a strong focus on behavioral health and community-based services for children and families. Proficient in engaging members through motivational interviewing and navigating Ohio's delivery systems to ensure effective care planning and support.

Highest-signal resume keywords

• Case Management
• Behavioral Health Experience
• Motivational Interviewing
• Community-Based Services
• Ohio Delivery Systems

ATS Optimization Keywords

Hard Skills

• Case Management
• Quality Management
• Behavioral Health
• Child and Family Counseling
• Discharge Planning
• Medicaid Knowledge
• Managed Care Experience
• Multi-System Navigation
• MS Office Suite
• Data Evaluation

Soft Skills

• Coaching
• Communication
• Collaboration
• Negotiation
• Problem-Solving

Certifications & Qualifications

• Bachelor's Degree in Behavioral Health
• Master's-Level Clinician (Non-Licensed)

Industry Keywords

• Child Welfare
• Developmental Disabilities
• Juvenile Justice
• Public Sector Human Services
• Family Systems

Tools & Technologies

• MS Office Suite
• SharePoint
• Electronic Health Records