Care Management Coordinator – Northeast Ohio

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

Benefits offered by this job

Medical, dental, vision benefits

401(k) retirement plan

Employee Stock Purchase Plan

PTO and holidays

Job summary

CVS Health Corporation seeks a Case Management Coordinator in Ohio to deliver care coordination and education for members under the OhioRISE program. You will coordinate care plans, collaborate with medical and behavioral health teams, and support families through complex systems.

The role requires 2+ years in behavioral health/social services, travel within Northeast Ohio, and willingness to work beyond standard hours. A bachelor’s or non‑licensed master’s degree in a related field is required.

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 of the following areas of expertise: 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.

Responsibilities

• 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: conduct comprehensive evaluation of referred member's needs/eligibility and recommend a plan; identify high risk factors and service needs.
• Coordinates and implements assigned care plan activities and monitors progress.
• Enhancement of Medical Appropriateness and Quality of Care: consult with case managers and teams to overcome barriers and promote outcomes.
• Works with the members' Child and Family Teams; escalate quality of care issues; secure options/services as needed; motivate participation.
• Provides coaching, information, and support to empower the member to make informed medical and lifestyle choices; helps member participate with provider in decisions.
• Serves as a single point of contact for members and assist in remediating gaps in care and access.
• Monitoring, Evaluation and Documentation of Care: use case management and quality management processes in compliance with guidelines.

Skills

Behavioral health experience

MS Office proficiency

Community-based services

Travel readiness

Ohio delivery systems knowledge

Education

Bachelor's degree or non-licensed master level clinician

Tools

SharePoint

Job description

CVS Health Corporation seeks a Case Management Coordinator in Ohio to deliver care coordination and education for members under the OhioRISE program. You will coordinate care plans, collaborate with medical and behavioral health teams, and support families through complex systems.

The role requires 2+ years in behavioral health/social services, travel within Northeast Ohio, and willingness to work beyond standard hours. A bachelor’s or non‑licensed master’s degree in a related field is required.