Care Plan Reviewer

Job not on LinkedIn

🔥 1 minute ago

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $60.5k - $129.6k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CVS Health Careers

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛒 Retail

📦 Logistics

Healthcare • Retail • Logistics

CVS Health Careers is the recruitment and employer branding arm of CVS Health, showcasing job opportunities across the company's broad operations—pharmacy retail stores, pharmacy services, health care clinics, distribution warehouses, corporate functions and transportation. The careers site emphasizes purpose-driven work focused on improving access, affordability and quality of health care, and highlights a large workforce (300,000+ employees), inclusive culture, benefits, and hiring resources for applicants.

📋 Description

• Review members’ assessments and Child and Family-Centered Care Plans for comprehensiveness • Review crisis and safety plans and support individualized trauma-informed interventions and de-escalation strategies • Apply clinical judgment to address risk factors and complex clinical indicators • Apply and interpret clinical criteria, guidelines, policies, procedures, and regulatory standards during reviews and prior approvals • Consult with supervisors, Medical Directors, and other programs to overcome barriers and achieve goals • Present cases at multidisciplinary case conferences • Identify and escalate quality-of-care issues • Consult with medical and behavioral health professionals to influence appropriate member care • Coach care coordination staff and supervisors using motivational interviewing and System of Care/High-Fidelity Wraparound principles • Empower members to make independent medical and healthy lifestyle choices • Analyze utilization, self-report, and clinical data to identify comprehensive member needs • Support behavioral healthcare for children with serious or complex behavioral health needs in OhioRISE

🎯 Requirements

• Unencumbered Behavioral Health clinical license in Ohio required: LMFT, LSW, or LPC • 2+ years of experience in children's mental health, child welfare, developmental disabilities, juvenile justice, human services, or behavioral health care, providing community-based services to children and youth and their families/caregivers • Experience in family systems, community systems and resources, case management, child and family counseling/therapy, child protection, or child development • 1+ year of experience with personal computers, keyboard, multi-systems navigation, and MS Office Suite applications • Willing and able to travel in-state up to 10% of the time with a personal vehicle • Minimum Master's degree in Counseling, Social Work, or Marriage and Family Therapy required • Preferred: LPCC, IMFT, or LISW license • Preferred: 3+ years of direct clinical practice experience post-Master's degree • Preferred: managed care/utilization review experience • Preferred: case management and discharge planning experience

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program eligibility

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