Field-Based Northeast Ohio Care Coordination Specialist

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

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) plan

Employee Stock Purchase Plan

Paid Time Off

Paid holidays

Life insurance

Short-term disability

Long-term disability

Store discount

Job summary

CVS Health Corporation is seeking a Field-based Case Management Coordinator for Northeast Ohio. This full-time role requires traveling to member homes and other locations up to 50% of the time, primarily in counties like Cuyahoga, Lorain, Medina, Summit, Lake, and Geauga.

Work hours are Monday–Friday, 8 am–5 pm with flexibility to meet member needs. The role focuses on coordinating care for children with behavioral health needs within Ohio’s Medicaid program, collaborating with MCOs, vendors and

Qualifications

• 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 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: 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
• Mileage is reimbursed per our company expense reimbursement policy
• 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: assess needs/eligibility and recommend an approach to case resolution; 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 other programs; work with Child and Family Teams; identify and escalate quality issues.
• Utilizes negotiation and motivational interviewing to secure services and engage members.
• Provides coaching and support to empower members to make informed medical and lifestyle choices.
• Serves as single point of contact and helps remediates gaps in care and access.
• Monitoring, Evaluation and Documentation of Care: follow case management and quality management processes.

Skills

Behavioral health

MS Office Suite

Ohio delivery systems

Travel 50%

Case management

Education

Bachelor's degree or non-licensed master level clinician

Tools

MS Office Suite

Job description

CVS Health Corporation is seeking a Field-based Case Management Coordinator for Northeast Ohio. This full-time role requires traveling to member homes and other locations up to 50% of the time, primarily in counties like Cuyahoga, Lorain, Medina, Summit, Lake, and Geauga.

Work hours are Monday–Friday, 8 am–5 pm with flexibility to meet member needs. The role focuses on coordinating care for children with behavioral health needs within Ohio’s Medicaid program, collaborating with MCOs, vendors and