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 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 Northeast Ohio to member homes and other requested member locations up to 50% or more of the time. Applicants may reside within the Northeast care coordination region of Ohio, preferably in Marion, Crawford, Sandusky, Summit, Medina, Lorain, Portage, Geauga, Lake, Ashtabula, Stark, Belmont, Tuscarawas, or Harrison Counties.
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
- Identify high-risk factors and service needs impacting member outcomes and care planning components
- 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 to meeting goals and objectives
- Work collaboratively with members' Child and Family Teams
- Identify and escalate quality of care issues through established channels
- Utilize negotiation skills to secure appropriate options and services necessary to meet members' benefits and/or healthcare needs
- Provide coaching, information, and support to empower members to make ongoing independent medical and/or healthy lifestyle choices
- Serve as a single point of contact for members and assist them in remediating 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.