Care Management Coordinator

CVS Health

. Conduct comprehensive evaluations of referred members' needs and eligibility .

Posted 9/29/2026full-timeColumbus • Ohio • United StatesJuniorMid-Level💰 $21 - $41 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management and behavioral health, with a strong focus on coordinating care plans and engaging families in healthcare decision-making. Proficient in using motivational interviewing techniques and navigating community resources to support children's mental health and well-being.

Highest-signal resume keywords

Case ManagementBehavioral Health ExperienceMotivational InterviewingCommunity-Based ServicesOhio Delivery Systems

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Case ManagementBehavioral Health EvaluationCare Plan CoordinationQuality Management ProcessesFamily CounselingChild ProtectionChild DevelopmentMulti-System NavigationMS Office SuiteData Analysis

Soft Skills

CollaborationCommunicationCoachingNegotiationProblem-Solving

Tools & Technologies

MS Office SuiteSharePointElectronic Health RecordsCase Management Software

Industry Keywords

Children's Mental HealthChild WelfareDevelopmental DisabilitiesJuvenile JusticePublic Sector Human Services

About the role

Key responsibilities & impact

Conduct comprehensive evaluations of referred members' needs and eligibility
Evaluate benefit plans and internal and external programs/services to recommend case resolution approaches
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 other 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 members' benefit and healthcare needs
Use motivational interviewing to engage members and promote lifestyle/behavior changes
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 remediate immediate gaps in care and access
Use case management and quality management processes in compliance with regulatory, accreditation, and company guidelines

Requirements

What you’ll need

Bachelor’s degree or non-licensed master level clinician required
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 experience in one or more of the following areas of expertise: family systems, community systems and resources, case management, child and family counseling/therapy, child protection, or child development
2+ year of experience with Ohio delivery systems, including local community networks and resources
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 of Monday-Friday, 8am-5pm, as needed
Must reside in Ohio

Benefits

Comp & perks

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