Care Management Coordinator

Job not on LinkedIn

🔥 21 hours ago

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $21 - $40 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.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

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Conduct comprehensive evaluations of referred members’ needs and eligibility • Recommend approaches to case resolution and meeting member needs • Evaluate benefit plans and internal and external programs/services • Identify high-risk factors and service needs and make appropriate referrals • Coordinate and implement assigned care plan activities and monitor progress • Consult with case managers, supervisors, Medical Directors, and health/behavioral health programs to overcome barriers • Present cases at case conferences for multidisciplinary review • Collaborate with members’ Child and Family Teams • Identify and escalate quality-of-care issues • Negotiate appropriate options and services to meet member benefits and healthcare needs • Use motivational interviewing to promote member engagement and behavior change • Provide coaching, information, and support for independent medical and healthy lifestyle choices • Help members participate knowledgeably in healthcare decision-making with providers • Serve as a single point of contact and address immediate gaps in care and access • Apply case management and quality management processes in compliance with regulatory, accreditation, and company requirements • Travel to member homes and other requested member locations within Western Ohio

🎯 Requirements

• 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 of experience in family systems, community systems and resources, case management, child and family counseling/therapy, child protection, or child development • 2+ years of experience with Ohio delivery systems, including local community networks and resources • Must reside in the West Region of Ohio; counties include Butler, Hamilton, Clermont, Warren, Montgomery, Allen, Hardin, Defiance, or Lucas • 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 as needed • Bachelor's degree or master level clinician required, in behavioral health, human services, health services, or public health • Case management and discharge planning experience preferred • Managed Care experience preferred • Medicaid experience preferred

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting colleagues’ physical, emotional, and financial well-being • Mileage reimbursement per company expense reimbursement policy