Juvenile Justice Case Management Coordinator - Jefferson County, KY

CVS Health • Louisville, KY

16h • $21 - $37 • Hybrid

About The Position

Aetna Better Health is hiring multiple Juvenile Justice Care Management Coordinator openings across Kentucky. The coordinator uses critical thinking and clinical judgment to collaborate on and implement the case management process, facilitating appropriate juvenile justice and healthcare outcomes for members through advocacy, care coordination, support, and education using care management tools and resources.

This is a field-based role assigned to the Jefferson Region, with regional in-state travel 80–90% of the time. Reliable transportation is required, and travel to the Louisville office for meetings and training is anticipated. Candidates may reside in or adjacent to the assigned region. The role requires flexibility to work beyond core business hours of Monday through Friday, 8 a.m. to 5 p.m. CST, to serve children and families who may need support after school or after work.

The position is full-time, with 40 anticipated weekly hours. It also has work-from-home requirements, including a secure and private designated home workspace, a qualifying hardwired internet connection, and compliance with company and HIPAA guidelines. The company provides computer equipment and related devices; employees provide their own workspace furniture. Employees must work within the state and city where they have confirmed they currently live.

The role’s pay range is $21.10–$36.78 per hour. The position may also be eligible for a CVS Health bonus, commission, or short-term incentive program. Eligible full-time employees receive a benefits package that includes medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, 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 demonstrated 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 credential 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 in-state travel.
• Ability to work flexibly beyond core business hours when needed.
• Ability to meet work-from-home requirements, including a hardwired internet connection with at least 25 Mbps download and 3 Mbps upload, and a quiet, secure, private workspace compliant with company and HIPAA guidelines.
• Ability to work from the state and city where the employee has confirmed they currently live.
• Ability to use multiple monitors and applications, communicate through email, calendar invitations, Teams, and virtual meetings, and use Office 365 or similar tools.
• Ability to access secure systems, follow basic security practices, troubleshoot common technical problems, and learn new skills as the workplace evolves.

Nice To Haves

• Managed care experience.
• Case management and discharge planning experience.

Responsibilities

• Evaluate members’ needs using care management assessments and information or data review, considering benefit plans and available internal and external programs and services.
• Identify high-risk factors and service needs that may affect member outcomes, and implement early, proactive support interventions.
• Coordinate and implement Wellness care plan activities and monitor members’ care needs.
• Consult 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 promote member engagement and lifestyle or behavior changes.
• Provide coaching, information, and support to help members make ongoing independent medical and healthy-lifestyle choices.
• Help members participate actively and knowledgeably with their providers in healthcare decision-making.
• Use case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
• Provide advocacy, care coordination, support, and education to members through care management tools and resources.

Benefits

• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources, based on eligibility
• Potential eligibility for a CVS Health bonus, commission, or short-term incentive program
• Company-provided computer equipment, including keyboard, monitor, computer, and headset

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level