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Case Management Coordinator – Field
CVS Health. Conduct comprehensive evaluations of referred members’ needs and eligibility .
Core Competencies
Role fitCore 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, engaging families, and navigating community resources. Proficient in motivational interviewing and culturally competent practices to support children's mental health and well-being.
Highest-signal resume keywords
Case ManagementBehavioral Health ExperienceMotivational InterviewingCommunity Resource NavigationCultural Competence
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Case Management ProcessesBehavioral Health EvaluationCare Plan CoordinationQuality ManagementChild and Family CounselingCrisis InterventionData AnalysisRegulatory ComplianceCommunity-Based ServicesFamily Systems Knowledge
Soft Skills
CommunicationCollaborationCoachingProblem-SolvingNegotiation
Tools & Technologies
MS Office SuiteOutlookWordExcelSharePoint
Industry Keywords
Children's Mental HealthChild WelfareDevelopmental DisabilitiesJuvenile JusticePublic Sector Human ServicesHealthcare Decision-MakingOhio Delivery SystemsQuality of Care IssuesMultidisciplinary ReviewFamily/Caregiver Support
About the role
Key responsibilities & impact- Conduct comprehensive evaluations of referred members’ needs and eligibility
- Evaluate benefit plans and internal and external programs/services
- 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 health/behavioral health programs to overcome care 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 member benefits and healthcare needs
- Use motivational interviewing to maximize member engagement and promote healthy 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 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 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
- Must reside in Ohio
- 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
- Clinically and culturally competent/responsive with training and experience necessary to manage complex cases in the community across child-serving systems
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 reimbursed per company expense reimbursement policy