Care Management Coordinator – Field

CVS Health

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

Posted 11/10/2026full-timeCincinnati • 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 members in their healthcare decisions. Proficient in utilizing care management tools and navigating community resources to address high-risk factors and improve member outcomes.

Highest-signal resume keywords

Case ManagementBehavioral Health ExpertiseMotivational InterviewingCommunity Resource NavigationRegulatory Compliance

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 CounselingFamily Systems ExpertiseCommunity-Based ServicesMulti-System NavigationOhio Delivery Systems KnowledgeBehavior Change Promotion

Soft Skills

CollaborationCoachingNegotiationCommunicationProblem-Solving

Tools & Technologies

MS Office SuiteOutlookWordExcelSharePoint

Certifications & Qualifications

Bachelor’s DegreeMaster Level Clinician

Industry Keywords

Behavioral HealthSocial ServicesChild WelfareDevelopmental DisabilitiesJuvenile JusticePublic HealthHealthcare Decision-MakingQuality of CareChild ProtectionChild Development

About the role

Key responsibilities & impact

Conduct comprehensive evaluations of referred members’ needs and eligibility using care management tools and information/data review
Recommend case-resolution approaches by evaluating benefit plans and available internal and external programs/services
Identify high-risk factors and service needs affecting member outcomes and care planning
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 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 decision-making with providers
Serve as a single point of contact and help remediate immediate and acute 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

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
Must reside in the West Region of Ohio; counties include Butler, Hamilton, Clermont, Warren, Montgomery, Allen, Hardin, Defiance, or Lucas
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
Bachelor’s degree or master level clinician required, with either degree being in behavioral health, human services, health services, or public health preferred (i.e. psychology, social work, marriage and family therapy, counseling, juvenile justice)

Benefits

Comp & perks

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