Juvenile Justice Case Management Coordinator - Jefferson County, KY

4004 Aetna Medicaid Administrators; Lexington (KY); Remote; USD 29,000 - 51,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Other resources

Job summary

CVS Health is hiring a Juvenile Justice Care Management Coordinator to support members in Kentucky across the Jefferson Region. This field-based role requires 80–90% in-state travel and travel to Louisville for meetings and training.

A bachelor’s degree or non-licensed master level clinician in behavioral health or related field is required, with experience in juvenile justice and related services. You will perform care management assessments, coordinate wellness plans, and engage with members

Qualifications

• Experience with Juvenile Justice systems and related services is required.
• Knowledge of Foster Care, Adoption Assistance and Behavioral Health services preferred.
• Experience with trauma-informed care and crisis intervention is desirable.

Responsibilities

• Evaluate member needs and coordinate care to improve health outcomes.
• Collaborate with care managers, supervisors and Medical Directors to address barriers to care.
• Document care activities and monitor quality of care in line with regulatory requirements.

Skills

Juvenile Justice systems

Foster Care

Adoption Assistance

Behavioral Health

Trauma-informed Care

ACEs

Crisis Intervention

MS Office

Education

Bachelor’s degree or non‑licensed master level in Behavioral Health / Human Services

Tools

MS Office Suite

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

Aetna Better Health is hiring for multiple openings across the state/regions of Kentucky. The Juvenile Justice Care Management Coordinator (CMC) utilizes critical thinking and clinical judgment to collaborate and implement the case management process, in order to facilitate appropriate juvenile justice and healthcare outcomes for members by providing advocacy, care coordination, support and education for members through the use of care management tools and resources. This is a field based position that requires regional in‑state travel 80‑90% of the time. Qualified candidate must have reliable transportation. Travel to the Louisville office for meetings and training is also anticipated. This position is assigned to the Jefferson Region. Qualified candidates may reside in or adjacent to the assigned region. Flexibility to work beyond core business hours of Monday‑Friday, 8am‑5pm CST, is required. We are serving the needs of children and families that may require working after school, after work, etc.

Evaluation of Members

Through the use of care management assessments and information/data review, recommends an approach to resolving care needs maintaining optimal health and well‑being 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 implements early and proactive support interventions. Coordinates and implements Wellness care plan activities and monitors member care needs.

Enhancement of Medical Appropriateness and Quality of Care

Using holistic approach consults with case managers, supervisors, Medical Directors and/or other 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. 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.

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.

Required Qualifications

Experience and functional knowledge with the Juvenile Justice systems. Experience or detailed knowledge of the Foster Care systems, Adoption Assistance, the delivery of Behavior Health Services, Trauma‑informed Care, ACEs, Crisis Intervention services, and evidence‑based practices applicable to the Kentucky SKY populations, is required. 2 years’ experience in behavioral health, social services or juvenile justice. Computer literacy and demonstrated proficiency is required in order to navigate through internal/external computer systems, and MS Office Suite applications, including Word and Excel.

Preferred Qualifications

Managed Care experience preferred. Case management and discharge planning experience preferred.

Education

Minimum of a bachelor’s degree or a non‑licensed master level clinician is required; with either degree being in behavioral health, or a relevant human services field of study required (social work, psychology, marriage and family therapy, counseling).

Work from Home Requirements

• You must have or be able to obtain a direct/hardwired internet connection to a modem/router within 7 feet of your computer and a minimum download speed of 25 mbs download and 3 mbs upload. WiFi and satellite internet are not permitted.
• A quiet, secure and private designated home virtual work location, free from distractions, tidy and organized, compliant with CVS Health and HIPAA guidelines, and allowing for uninterrupted work during work hours.
• Work‑from‑Home colleagues are required to work within the state and city where they have confirmed they currently live.
• The company will provide equipment (keyboard, monitor, computer, headset, etc.). All new hires should provide their own workspace furniture (desk or standing desk, as this position would require you to be at your desk for extended periods of time).
• If hired, you will commit to obtaining required internet speeds and adhere to all Work From Home requirements.

Technical and Logistical Requirements

• Device & System Navigation: Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously to streamline tasks and improve efficiency.
• Communication Tools: Ability to communicate on digital channels such as via email, calendar invites, Teams messaging, and virtual meetings.
• Collaboration & Scheduling: Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) applications or similar (Google Workspace).
• Systems Access & Security: Ability to Log in to secure systems (e.g., VPN, EHR portal), lock a computer screen when unattended, manage strong passwords, and recognize suspicious emails or links.
• Troubleshooting & Support: Ability to resolve common technical issues independently, such as: restarting an application when frozen, resolving internet connection issues, and contacting IT for unresolved technical issues.
• Future Growth: Openness to learning new skills in the future as the workplace environment evolves.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $21.10 - $36.78 This pay range represents the base hourly rate or base annual full‑time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short‑term incentive program in addition to the base pay range listed above.

Benefits

• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources

Application Deadline

We anticipate the application window for this opening will close on: 11/21/2026

Equal Opportunity

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Company Culture

Our Work Experience is the combination of everything that’s unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it’s our people. Our employees are self‑disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.