Case Management Coordinator OhioRISE - Field - Northeast/Northwest Ohio
About The Position
The Case Management Coordinator supports the OhioRISE program, which provides coordinated behavioral health services to children with serious or complex needs who are involved in, or at risk of involvement in, multiple child-serving systems. The coordinator collaborates with members, families, Child and Family Teams, health professionals, and community partners to facilitate appropriate healthcare outcomes through care coordination, support, education, and use of care management tools and resources. This is a full-time, field-based telework position for someone residing in Ohio. The role requires travel within the assigned Northeast Ohio region to member homes and other requested locations, up to 50% or more of the time. The regular schedule is Monday through Friday, 8 a.m. to 5 p.m., with flexibility to work later as needed to meet member needs. Some travel to the New Albany office may be required for training or meetings.
Requirements
- Bachelor’s degree or non-licensed master-level clinician.
- At least 2 years of experience in behavioral health, social services, or human services.
- At least 2 years of experience using personal computers, keyboarding, multi-system navigation, and Microsoft Office applications including Outlook, Word, Excel, and SharePoint.
- At least 2 years of experience in children’s mental health, child welfare, developmental disabilities, juvenile justice, or public-sector human services or behavioral health care, providing community-based services to children and youth and their families or caregivers.
- At least 2 years of experience in one or more of the following: family systems, community systems and resources, case management, child and family counseling or therapy, child protection, or child development.
- At least 2 years of experience with Ohio delivery systems, including local community networks and resources.
- Must reside in Ohio.
- Must be willing and able to travel within the assigned region up to 50% of the time.
- Reliable transportation required.
- Must be willing and able to work beyond Monday–Friday, 8 a.m.–5 p.m. core business hours as needed.
Nice To Haves
- Case management and discharge planning experience.
- Managed care experience.
- Medicaid experience.
- Residence in Marion, Crawford, Summit, Medina, Lorain, Portage, Geauga, Ashtabula, Stark, Belmont, Tuscarawas, or Harrison County.
- A degree in behavioral health, human services, health services, or public health; examples include psychology, social work, marriage and family therapy, counseling, or juvenile justice.
Responsibilities
- Evaluate referred members’ needs and eligibility using care management tools and available information, and recommend approaches to resolve cases or meet identified needs.
- Review members’ benefit plans and available internal and external programs and services.
- Identify high-risk factors and service needs that may affect member outcomes and care planning, and refer members to clinical case management or crisis intervention when appropriate.
- Coordinate and implement assigned care plan activities and monitor progress.
- Consult with case managers, supervisors, Medical Directors, and other health or behavioral health programs to address barriers and meet care goals.
- Present cases at multidisciplinary case conferences to support optimal outcomes.
- Work collaboratively with members’ Child and Family Teams.
- Identify and escalate quality-of-care issues through established channels.
- Negotiate to secure appropriate options and services that meet members’ benefits or healthcare needs.
- Use influencing and motivational interviewing skills to promote member engagement and lifestyle or behavior changes.
- Provide coaching, information, and support to help members make independent medical and healthy lifestyle choices.
- Help members participate knowledgeably in healthcare decisions with their providers.
- Serve as a single point of contact and help members address immediate or acute gaps in care and access.
- Use case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Benefits
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources, based on eligibility
- Eligibility for a CVS Health bonus, commission, or short-term incentive program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
