Care Management Coordinator

CVS Health

. Evaluate referred members' needs and eligibility using care management tools and data review .

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

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in case management and behavioral health, with a strong focus on coordinating care plans and engaging families in healthcare decisions. Proficient in using care management tools and navigating community resources to address members' needs effectively.

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

Care Management ToolsData ReviewQuality Management ProcessesChild and Family CounselingDischarge PlanningMS Office SuiteMulti-System NavigationRegulatory ComplianceService CoordinationHigh-Risk Factor Identification

Soft Skills

Negotiation SkillsCoachingCommunicationCollaborationInfluencing Skills

Tools & Technologies

MS Office SuiteSharePoint

Industry Keywords

Behavioral HealthSocial ServicesHuman ServicesChild WelfareDevelopmental DisabilitiesJuvenile JusticeManaged CareMedicaidPublic HealthFamily Systems

About the role

Key responsibilities & impact

Evaluate referred members' needs and eligibility using care management tools and data review
Recommend case-resolution approaches and identify high-risk factors and service needs
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 multidisciplinary case conferences
Collaborate with members' Child and Family Teams
Identify and escalate quality-of-care issues
Negotiate appropriate services to meet members' benefit and healthcare needs
Use motivational interviewing and influencing skills 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 decisions
Serve as a single point of contact and remediate immediate gaps in care and access
Apply case and quality management processes in compliance with regulatory, accreditation, and company requirements

Requirements

What you’ll need

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
Willing and able to travel within the assigned region up to 50% of the time
Reliable transportation required
Willing and able to work beyond core business hours as needed
Bachelor's degree or non-licensed master level clinician required
Must reside in Ohio
Case management and discharge planning experience preferred
Managed Care experience preferred
Medicaid experience preferred
Degree in behavioral health, human services, health services, or public health preferred

Benefits

Comp & perks

Mileage is reimbursed per our company expense reimbursement policy
Medical, dental, and vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being