Field Case Manager - Health Care Coordination (Ohio)

CVS Health; Ohio; Remote; USD 29,000 - 56,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a Case Management Coordinator for a full-time, field-based telework position in Ohio. The role supports the OhioRISE initiative, coordinating care for children with behavioral health needs across systems, traveling within Northeast Ohio up to 50% and occasionally to the New Albany office for trainings.

The position requires a Bachelor’s or non-licensed master level clinician, 2+ years in related fields, and strong MS Office/SharePoint skills.

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 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 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.
• 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.
• Monitoring, Evaluation and Documentation of Care: Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

Skills

MS Office Suite

Education

Bachelor’s degree or non-licensed master level clinician

Tools

MS Office Suite

SharePoint

Job description

CVS Health is seeking a Case Management Coordinator for a full-time, field-based telework position in Ohio. The role supports the OhioRISE initiative, coordinating care for children with behavioral health needs across systems, traveling within Northeast Ohio up to 50% and occasionally to the New Albany office for trainings.

The position requires a Bachelor’s or non-licensed master level clinician, 2+ years in related fields, and strong MS Office/SharePoint skills.