Case Management Coordinator

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 colleagues who care deeply, innovate with purpose, and prioritize safety and quality in everything they do.

This is a full-time field-based telework position in Ohio, requiring travel within the assigned region of Central and Southeast Ohio to member homes and other requested member locations, up to 50% or more of the time. Applicants may reside within the Central/SE care coordination region of Ohio, preferably in one of the following counties: Athens, Ashland, Coshocton, Delaware, Fairfield, Fayette, Franklin, Gallia, Guernsey, Highland, Hocking, Holmes, Knox, Jackson, Licking, Meigs, Morgan, Morrow, Muskingum, Noble, Perry, Pickaway, Pike, Ross, Richland, Vinton, Washington, or Wayne.

The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process, facilitating appropriate healthcare outcomes for members by providing care coordination, support, and education.

Responsibilities:

• Conduct comprehensive evaluations of referred members' needs and eligibility
• Recommend approaches to case resolution and meet needs by evaluating members' benefit plans and available internal and external programs/services
• Coordinate and implement assigned care plan activities and monitor progress
• Consult with case managers, supervisors, Medical Directors, and other health/behavioral health programs to overcome barriers
• Work collaboratively with members' Child and Family Teams
• Identify and escalate quality of care issues
• Utilize negotiation and motivational interviewing skills to secure appropriate options and services
• Provide coaching, information, and support to empower members to make independent medical and healthy lifestyle choices
• Serve as a single point of contact for members and assist with immediate and acute gaps in care and access

Requirements:

• 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
• 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
• Reliable transportation required
• Mileage is reimbursed per company expense reimbursement policy

Preferred Qualifications:

• Case management and discharge planning experience
• Managed Care experience
• Medicaid experience

Salary Range: $21.10 - $40.90

Benefits: Eligible for a comprehensive benefits package, including medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources.