Field-Based Case Manager – Behavioral Health (OH)

CVS Health Corporation; Mentor (OH); Remote; USD 44,000 - 85,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a Case Management Coordinator in Ohio to support the OhioRISE program. The role involves travel to member homes and locations across Northeast Ohio to deliver care coordination and education, with a primary focus on behavioral health and child/family services.

The candidate should have a bachelor’s degree or a non-licensed master level clinician background and 2+ years in related fields, with strong MS Office skills and willingness to work beyond standard hours.

Qualifications

• Bachelor’s degree or non-licensed master level clinician required.
• 2+ years of experience in behavioral health, social services, or human services.
• 2+ years of experience with 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: Through the use of care management tools and information/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. Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate.
• Coordinates and implements assigned care plan activities and monitors care plan progress.
• Enhancement of Medical Appropriateness and Quality of Care: Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health/behavioral health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.
• Works collaboratively with the members' Child and Family Teams.
• Identifies and escalates quality of care issues through established channels.
• Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs.
• Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
• Provides coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
• Helps member actively and knowledgably participate with their provider in healthcare decision-making.
• Serves a single point of contact for members and assist members to remediate immediate and acute gaps in care and access.

Skills

Behavioral health experience

MS Office

Child & family services

Family systems

Ohio delivery systems

Travel willingness

Education

Bachelor’s degree in behavioral health

Non-licensed master level clinician

Tools

MS Office: Outlook

MS Office: Word

MS Office: Excel

MS SharePoint

Job description

CVS Health is seeking a Case Management Coordinator in Ohio to support the OhioRISE program. The role involves travel to member homes and locations across Northeast Ohio to deliver care coordination and education, with a primary focus on behavioral health and child/family services.

The candidate should have a bachelor’s degree or a non-licensed master level clinician background and 2+ years in related fields, with strong MS Office skills and willingness to work beyond standard hours.