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Population Health and Wellness Care Management Coordinator
CVS Health. Support the case management process to facilitate and maintain improved healthcare outcomes for members .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in case management, behavioral health services, and trauma-informed care, with a strong focus on improving healthcare outcomes for members. Proficient in utilizing care management tools and advocating for member needs while ensuring compliance with regulatory standards.
Highest-signal resume keywords
Case Management ExperienceBehavioral Health Services KnowledgeTrauma-Informed Care ExpertiseMicrosoft Office Suite ProficiencyManaged Care Experience
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 ManagementDischarge PlanningCrisis InterventionBehavioral Health AssessmentMotivational InterviewingData ReviewCare Management ToolsRegulatory ComplianceTechnical TroubleshootingGrowth and Developmental Milestones
Soft Skills
AdvocacyCollaborationCommunicationCoachingFlexibility
Tools & Technologies
Microsoft Office 365EHR PortalsVPN AccessTeams MessagingSecure Systems
Certifications & Qualifications
Bachelor's Degree in Behavioral HealthMaster's Degree in Human Services (Non-Licensed)
Industry Keywords
Foster CareJuvenile Justice SystemsAdoption AssistanceACEsKentucky SKY Populations
Tech Stack
Tools & technologiesSaltStack
About the role
Key responsibilities & impact- Support the case management process to facilitate and maintain improved healthcare outcomes for members
- Provide advocacy, collaboration, coordination, support, and education using care management tools and resources
- Evaluate members through care management assessments and information/data review
- Recommend approaches to resolve care needs by evaluating benefit plans and internal/external programs and services
- Identify high-risk factors and service needs and implement early, proactive support interventions
- Coordinate and implement Wellness care plan activities and monitor member care needs
- Consult with case managers, supervisors, Medical Directors, and other health programs to overcome barriers
- Present cases at case conferences for multidisciplinary review
- Identify and escalate quality-of-care issues through established channels
- Negotiate appropriate options and services to meet members’ benefit and healthcare needs
- Use motivational interviewing and influencing skills to engage members and promote lifestyle and behavior changes
- Provide coaching, information, and support to empower independent medical and healthy lifestyle choices
- Help members participate knowledgeably with providers in healthcare decision-making
- Monitor, evaluate, and document care in compliance with regulatory, accreditation, and company requirements
- Travel regionally within Kentucky up to 50% of the time using a personal vehicle
- Travel to the Louisville office for meetings and training
Requirements
What you’ll need- Experience and detailed knowledge of Foster Care and juvenile justice systems, Adoption Assistance, Behavioral Health Services, Trauma-informed Care, ACEs, Crisis Intervention services, and evidence-based practices applicable to Kentucky SKY populations
- 2 years’ experience in behavioral health, social services or an appropriate related field equivalent to program focus
- Computer literacy and proficiency with internal/external computer systems and MS Office Suite, including Word and Excel
- Flexibility to work beyond Monday-Friday, 8am-5pm core business hours
- Knowledge of growth and developmental milestones
- Case management experience
- Discharge planning experience
- Managed Care experience
- Minimum of a Bachelor's degree or a non-licensed master level clinician degree in behavioral health or a relevant human services field, such as social work, psychology, marriage and family therapy, or counseling
- Valid KY driver's license
- Proof of vehicle insurance and reliable transportation
- Residence in a county in the assigned Salt River Trail region
- Direct/hardwired internet connection within 7 feet of the computer, with minimum 25 Mbps download and 3 Mbps upload speeds; WiFi and satellite internet are not permitted
- Quiet, secure, private, distraction-free home work location compliant with CVS Health and HIPAA guidelines
- Must work within the state and city where currently residing
- Ability to provide own workspace furniture
- Ability to use multiple monitors and applications simultaneously
- Ability to communicate via email, calendar invites, Teams messaging, and virtual meetings
- Experience with Microsoft Office 365 applications or similar Google Workspace tools
- Ability to access secure systems such as VPN and EHR portals, maintain computer and password security, and recognize suspicious emails or links
- Ability to troubleshoot common technical issues and contact IT when needed
- Openness to learning new skills
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
- Company-provided equipment (keyboard, monitor, computer, headset, etc.)