Care Management Coordinator

CVS Health

. Conduct comprehensive evaluations of referred members’ needs and eligibility using care management tools and data review .

Posted 10/28/2026full-timeOhio • 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, engaging members through motivational interviewing, and navigating community resources. Proficient in evaluating member needs and eligibility while ensuring compliance with regulatory and accreditation standards.

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 ReviewBenefit Plan EvaluationQuality Management ProcessesChild and Family CounselingCrisis InterventionDischarge PlanningMulti-System NavigationMS Office SuiteKeyboard Skills

Soft Skills

CollaborationCoachingCommunicationNegotiationEmpowerment

Tools & Technologies

OutlookWordExcelSharePoint

Industry Keywords

Children's Mental HealthChild WelfareDevelopmental DisabilitiesJuvenile JusticePublic Sector Human ServicesManaged CareMedicaid

About the role

Key responsibilities & impact

Conduct comprehensive evaluations of referred members’ needs and eligibility using care management tools and data review
Evaluate benefit plans and internal and external programs/services to recommend case resolution and meet member needs
Identify high-risk factors and service needs, with appropriate referral to clinical case management or crisis intervention
Coordinate and implement assigned care plan activities and monitor care plan 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 and optimal outcomes
Collaborate with members’ Child and Family Teams
Identify and escalate quality-of-care issues through established channels
Negotiate appropriate options and services to meet members’ benefits and healthcare needs
Use motivational interviewing to maximize member engagement and promote lifestyle/behavior changes
Provide coaching, information, and support to empower independent medical and healthy lifestyle choices
Help members participate knowledgeably in healthcare decision-making with providers
Serve as a single point of contact and help remediate immediate and acute gaps in care and access
Use case management and quality management processes in compliance with regulatory, accreditation, and company requirements

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
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
CVS Health bonus, commission or short-term incentive program in addition to base pay