Case Management Coordinator – Field

Jobtailor; Shelbyville (KY); On-site; USD 45,000 - 65,000; Full time

Job summary

Jobtailor in Kentucky seeks an experienced care-management professional to lead comprehensive member assessments, coordinate plan activities, and promote evidence-based practices within regulatory guidelines. This role emphasizes collaboration with behavioral health partners and strong data analysis.

Travel up to 80-90% for face-to-face visits; requires a bachelor’s degree in behavioral health, KY driver's license, and ability to work from a compliant home office.

Qualifications

• Minimum of a bachelor’s degree or a non-licensed master level clinician degree in behavioral health or a relevant human services field

Responsibilities

• Conduct comprehensive assessments of members’ needs and eligibility using care management tools and data review
• Recommend case-resolution approaches and evaluate legal, educational, biopsychosocial, benefit-plan, and resource needs
• Identify high-risk factors and service needs affecting member outcomes and care planning
• Refer members to clinical case management or crisis intervention when appropriate
• Coordinate and implement assigned care-plan activities
• Monitor and update care plans to reflect progress, health, wellness, and compliance with juvenile justice system guidelines
• Collaborate with state and behavioral health system partners to help members understand their healthcare needs
• Consult with case managers, supervisors, Medical Directors, and other health programs to overcome barriers
• Present cases at multidisciplinary case conferences
• Identify and elevate quality-of-care issues through established channels
• Negotiate appropriate options and services to meet members’ benefits and healthcare needs
• Use motivational interviewing to promote member engagement and lifestyle or behavior changes
• Coach, inform, and support members in making independent medical and healthy-lifestyle choices
• Help members participate knowledgeably in healthcare decision-making with providers
• Apply case management and quality management processes in compliance with regulatory, accreditation, and company guidelines

Skills

Case Management

Behavioral Health Services

Crisis Intervention

Motivational Interviewing

Regulatory Compliance

Education

Bachelor's degree in behavioral health or related field

Tools

Microsoft Office 365

Google Workspace

VPN

EHR Portals

Job description

• Conduct comprehensive assessments of members’ needs and eligibility using care management tools and data review
• Recommend case-resolution approaches and evaluate legal, educational, biopsychosocial, benefit-plan, and resource needs
• Identify high-risk factors and service needs affecting member outcomes and care planning
• Refer members to clinical case management or crisis intervention when appropriate
• Coordinate and implement assigned care-plan activities
• Monitor and update care plans to reflect progress, health, wellness, and compliance with juvenile justice system guidelines
• Collaborate with state and behavioral health system partners to help members understand their healthcare needs
• Consult with case managers, supervisors, Medical Directors, and other health programs to overcome barriers
• Present cases at multidisciplinary case conferences
• Identify and elevate quality-of-care issues through established channels
• Negotiate appropriate options and services to meet members’ benefits and healthcare needs
• Use motivational interviewing to promote member engagement and lifestyle or behavior changes
• Coach, inform, and support members in making independent medical and healthy-lifestyle choices
• Help members participate knowledgeably in healthcare decision-making with providers
• Apply case management and quality management processes in compliance with regulatory, accreditation, and company guidelines

Requirements

• Qualified candidates must reside in Breckinridge, Grayson, Meade, Hardin, Larue, Bullitt, Nelson, Marion, Washington, Spencer, Anderson, Woodford, Shelby, Franklin, Henry, Oldham, or Trimble counties in Kentucky
• 2 years’ experience in behavioral health, social services, or human services field
• 1+ year(s) of experience with Foster Care and juvenile justice systems, Adoption Assistance, delivery of Behavioral Health Services, Trauma‑informed Care, ACEs, Crisis Intervention services, and evidence-based practices applicable to Kentucky SKY populations
• 1 year experience with MS Office Suite applications, including Word and Excel
• Valid KY driver's license
• Proof of vehicle insurance
• Reliable transportation and personal vehicle
• Willingness and ability to travel 80-90% of the time for face-to-face member visits
• Flexibility to work beyond Monday-Friday, 8am-5pm core business hours
• Minimum of a bachelor's degree or a non-licensed master level clinician degree in behavioral health or a relevant human services field (social work, psychology, marriage and family therapy, or counseling)
• Direct/hardwired internet connection within 7 feet of the modem/router, with minimum speeds of 25 Mbps download and 3 Mbps upload; WiFi and satellite internet are not permitted
• Quiet, secure, private designated home virtual work location compliant with CVS Health and HIPAA guidelines
• Ability to work within the state and city where currently residing
• Ability to use multiple monitors and navigate multiple applications simultaneously
• Ability to communicate via email, calendar invites, Teams messaging, and virtual meetings
• Experience with Microsoft Office 365 applications or similar Google Workspace tools
• Ability to log in to secure systems such as VPN and EHR portals, maintain computer security, manage strong passwords, and recognize suspicious emails or links
• Ability to troubleshoot common technical issues independently

Core Competencies

Demonstrates expertise in case management and behavioral health services, with a strong focus on compliance with regulatory guidelines and effective member engagement strategies. Proficient in utilizing care management tools and data analysis to assess member needs and coordinate care plans.

Highest-signal resume keywords

• Case Management
• Behavioral Health Services
• Crisis Intervention
• Motivational Interviewing
• Regulatory Compliance

Hard Skills

• Data Review
• Care Management Tools
• Behavioral Health Assessment
• Quality Management Processes
• Evidence-Based Practices
• Microsoft Office Suite
• EHR Portals
• Technical Troubleshooting
• Virtual Communication
• Home Office Compliance

Soft Skills

• Collaboration
• Coaching
• Communication
• Flexibility
• Problem‑Solving

Certifications & Qualifications

• Valid KY Driver's License

Industry Keywords

• Foster Care
• Juvenile Justice System
• Trauma‑Informed Care
• ACEs
• Healthcare Decision-Making

Tools & Technologies

• Microsoft Office 365
• Google Workspace
• VPN
• Multiple Monitors
• Secure Systems