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Case Management Coordinator, Field
CVS Health. Manage complex cases in the community across child-serving systems .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in case management and quality management processes, ensuring compliance with regulatory and accreditation standards while effectively coordinating care for children and families. Proficient in motivational interviewing and community-based service delivery, with a strong focus on member engagement and support for healthcare decisions.
Highest-signal resume keywords
Case ManagementBehavioral Health ExperienceMotivational InterviewingCommunity-Based ServicesOhio Delivery Systems
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Comprehensive EvaluationsCare Plan CoordinationQuality-of-Care Issue IdentificationBenefit Plan EvaluationChild and Family CounselingMulti-System NavigationMS Office SuiteChild ProtectionChild DevelopmentFamily Systems Knowledge
Soft Skills
CollaborationCoachingCommunicationNegotiationProblem-Solving
Tools & Technologies
MS Office SuiteSharePointPersonal Computers
Industry Keywords
Child WelfareDevelopmental DisabilitiesJuvenile JusticePublic Sector Human ServicesCommunity Systems
About the role
Key responsibilities & impact- Manage complex cases in the community across child-serving systems
- 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
- Monitor care plan 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 knowledgeably in healthcare decisions with providers
- Serve as a single point of contact and 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 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 Monday-Friday, 8am-5pm, as needed
- Must reside in Ohio
- Candidate will reside in Marion, Crawford, Sandusky, Summit, Cuyahoga, Portage, Geauga, Lake, Ashtabula, Stark, or Belmont County
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, based on eligibility
- Mileage reimbursement per company expense reimbursement policy