Care Management Coordinator – Central/SE Ohio

CVS Health

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

Posted 10/14/2026full-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, engaging members through motivational interviewing, and navigating community resources. Proficient in evaluating 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

Case Management ProcessesQuality Management ProcessesBehavioral Health EvaluationCrisis InterventionChild and Family CounselingEligibility AssessmentBenefit Plan EvaluationService CoordinationDischarge PlanningNegotiation Skills

Soft Skills

CollaborationCoachingCommunicationProblem-SolvingMember Engagement

Tools & Technologies

MS Office SuiteOutlookWordExcelSharePoint

Certifications & Qualifications

Bachelor’s DegreeNon-Licensed Master Level Clinician

Industry Keywords

Children's Mental HealthChild WelfareDevelopmental DisabilitiesJuvenile JusticePublic Sector Human ServicesMedicaidManaged CareFamily SystemsCommunity SystemsQuality of Care

About the role

Key responsibilities & impact

Conduct comprehensive evaluations of referred members' needs and eligibility
Evaluate benefit plans and internal/external programs and services
Identify high-risk factors and service needs, with referrals to clinical case management or crisis intervention as appropriate
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 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' benefits and healthcare needs
Use motivational interviewing to promote member engagement and behavior change
Provide coaching, information, and support for independent medical and healthy lifestyle choices
Help members participate in healthcare decision-making with providers
Serve as a point of contact and help remediate immediate gaps in care and access
Apply 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 public sector human services or behavioral health care, 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
Some travel to the New Albany office may be required for trainings/meetings
Reliable transportation required
Willing and able to work beyond Monday-Friday, 8am-5pm, as needed
Preferred: case management and discharge planning experience
Preferred: managed care experience
Preferred: Medicaid experience

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 colleagues' physical, emotional, and financial well-being