Care Management Coordinator - Field & Telework (Ohio)

CVS Health Corporation; Delaware (OH); Remote; USD 29,000 - 56,000; Full time

Job summary

CVS Health Corporation in Ohio is hiring a Case Management Coordinator for a full-time, field-based role with telework options. You will provide care coordination, education, and support to members, traveling within the Ohio region up to 50% of the time to member homes and locations.

The position requires 2+ years in behavioral health or related fields, plus travel flexibility and a Bachelor's degree or a non-licensed master’s in a relevant area.

Qualifications

• 2+ years of experience in behavioral health, social services, or human services.
• 2+ years of experience with personal computers, keyboard 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 a public sector human services or behavioral health care field, providing community-based services to children and youth, and their family/caregivers.
• 2+ years experience in one or more areas: family systems, community systems and resources, case management, child and family counseling/therapy, child protection, or child development.
• 2+ year of experience with Ohio delivery systems, including local community networks and resources.
• Willing and able to travel within the assigned region up to 50% of the time; Some travel to the New Albany office may be required for trainings/meetings.
• Reliable transportation required
• Willing and able to work beyond core business hours of Monday-Friday, 8am-5pm, as needed.
• Bachelor's degree or non-licensed master level clinician required
• Must reside in Ohio

Responsibilities

• The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.
• Be clinically and culturally competent/responsive with training and experience necessary to manage complex cases in the community across child-serving systems.
• Evaluation of Members: through care management tools and 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, identifying high risk factors and service needs that may impact outcomes.
• Coordinates and implements assigned care plan activities and monitors care plan progress.
• Enhancement of Medical Appropriateness and Quality of Care: consults with case managers, supervisors, Medical Directors and/or other health/behavioral health programs to overcome barriers to meeting goals; Works with the members' Child and Family Teams; Identifies and escalates quality of care issues; Uses negotiation and motivational interviewing to secure options and promote engagement; Provides coaching and support to empower members to make ongoing independent medical and healthy lifestyle choices.
• Helps member participate with their provider in healthcare decision-making; Serves as a single point of contact for members and assists in remediating gaps in care and access.
• Monitoring, Evaluation and Documentation of Care: uses case management and quality management processes in compliance with regulatory guidelines and company policies.

Skills

Behavioral health experience

Case management

MS Office Suite

Education

Bachelor's degree or non-licensed master level clinician

Tools

MS Office Suite (Outlook, Word, Excel, SharePoint)

Job description

CVS Health Corporation in Ohio is hiring a Case Management Coordinator for a full-time, field-based role with telework options. You will provide care coordination, education, and support to members, traveling within the Ohio region up to 50% of the time to member homes and locations.

The position requires 2+ years in behavioral health or related fields, plus travel flexibility and a Bachelor's degree or a non-licensed master’s in a relevant area.