Juvenile Justice Case Management Coordinator - Jefferson County, KY

CVS Health•Louisville, KY

12d•Hybrid

About The Position

Aetna Better Health is hiring multiple Juvenile Justice Care Management Coordinators across Kentucky. The role uses critical thinking and clinical judgment to collaborate on and implement case management processes that support appropriate juvenile justice and healthcare outcomes for members. The coordinator provides advocacy, care coordination, support, and education using care management tools and resources. This is a field-based position assigned to the Jefferson Region, with regional in-state travel required 80–90% of the time. Reliable transportation is required, and travel to the Louisville office for meetings and training is anticipated. Candidates may live in or adjacent to the assigned region. The role requires flexibility beyond core business hours of Monday through Friday, 8 a.m.–5 p.m. CST, to serve children and families who may need support after school or after work. The coordinator evaluates members using care management assessments and information review, identifies risks and service needs, recommends approaches to care, and coordinates and monitors wellness care plans. The role also supports quality and medical appropriateness by collaborating with case managers, supervisors, Medical Directors, and other programs; presenting cases for multidisciplinary review; escalating quality-of-care concerns; securing appropriate services; and encouraging member engagement and informed healthcare decisions. The coordinator monitors, evaluates, and documents care in compliance with regulatory, accreditation, and company requirements. The role includes work-from-home requirements alongside extensive field travel. The employee must work from their confirmed residence within the state and city, maintain a compliant and private workspace, and meet specified wired internet requirements. CVS Health provides computer equipment and related peripherals; the employee supplies workspace furniture. The position is full time, with 40 anticipated weekly hours. Pay is $21.10–$36.78 per hour, with eligibility for a CVS Health bonus, commission, or short-term incentive program. A comprehensive benefits package is available subject to eligibility.

Requirements

Experience and functional knowledge of juvenile justice systems.
Experience or detailed knowledge of foster care systems, adoption assistance, behavioral health service delivery, trauma-informed care, ACEs, crisis intervention services, and evidence-based practices applicable to Kentucky SKY populations.
At least 2 years of experience in behavioral health, social services, or juvenile justice.
Computer literacy and proficiency navigating internal and external computer systems and Microsoft Office applications, including Word and Excel.
A bachelor’s degree or a non-licensed master-level clinician qualification in behavioral health or a relevant human services field, such as social work, psychology, marriage and family therapy, or counseling.
Reliable transportation for extensive regional travel.
Ability to work flexibly beyond Monday–Friday, 8 a.m.–5 p.m. CST, as member and family needs require.
Ability to meet work-from-home requirements: a direct, hardwired modem/router connection within 7 feet of the computer, with at least 25 Mbps download and 3 Mbps upload speeds; Wi-Fi and satellite internet are not permitted.
Maintain a quiet, secure, private, organized home workspace compliant with CVS Health and HIPAA guidelines and suitable for uninterrupted work.
Work from the state and city where the employee has confirmed they currently reside.
Provide workspace furniture, such as a desk or standing desk, and commit to obtaining the required internet speeds and following work-from-home requirements.
Comfort setting up and using multiple monitors and navigating multiple applications simultaneously.
Ability to use digital communication tools such as email, calendar invitations, Teams messaging, and virtual meetings.
Experience with Microsoft Office 365 applications or similar tools such as Google Workspace.
Ability to access secure systems such as VPNs and EHR portals, follow basic computer security practices, and recognize suspicious emails or links.
Ability to troubleshoot common technical issues and contact IT for issues that cannot be resolved independently.
Openness to learning new skills as the workplace evolves.

Nice To Haves

Managed care experience.
Case management and discharge planning experience.

Responsibilities

Evaluate members’ care needs using care management assessments and information and data review, considering benefit plans and internal and external programs or services.
Identify high-risk factors and service needs that could affect member outcomes, and implement early, proactive support interventions.
Coordinate and implement wellness care plan activities and monitor members’ care needs.
Collaborate with case managers, supervisors, Medical Directors, and other health programs to address barriers to goals and objectives.
Present cases at case conferences to obtain multidisciplinary review and support optimal outcomes.
Identify and escalate quality-of-care issues through established channels.
Use negotiation skills to secure appropriate options and services for members’ benefit and healthcare needs.
Use influencing and motivational interviewing skills to engage members and promote lifestyle or behavior changes.
Provide coaching, information, and support that empower members to make independent medical and healthy-lifestyle choices and participate knowledgeably in healthcare decisions.
Monitor, evaluate, and document care using case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Provide field-based care coordination and support to children and families, including flexibility to work beyond core business hours when needed.
Travel within the assigned Kentucky region and to the Louisville office for meetings and training.