CVS Health je ameriško zdravstveno podjetje, ki deluje na področju zdravstvenih storitev, zdravstvenega zavarovanja, upravljanja lekarniških ugodnosti in maloprodajnih lekarn. Prek podjetij, kot sta Aetna in CVS Caremark, podpira zdravstveno kritje, dostop do zdravil na recept, obvladovanje zdravstvenih stanj, specializirana zdravila in lekarniške storitve naročanja po pošti. Njegove lokalne lekarne in širša ponudba zdravstvene oskrbe so zasnovane tako, da ljudem omogočajo udobnejši in cenovno dostopnejši dostop do nujno potrebne zdravstvene oskrbe. CVS Health združuje zavarovanje, lekarniške in zdravstvene storitve ter tako podpira posameznike in skupnosti skozi celotno pot njihove zdravstvene oskrbe.
Case Management Coordinator, OhioRISE
Coordinate behavioral healthcare for children in CVS Health’s OhioRISE Medicaid program. This hybrid, field-based role includes travel to serve members across an assigned Ohio region.
Opis
- Manage complex community behavioral health cases across child-serving systems.
- Assess referred members’ needs and eligibility through comprehensive evaluations.
- Review benefit plans and available internal and external programs and services.
- Spot high-risk factors and service needs, then make appropriate referrals.
- Coordinate care plan activities and track members’ progress.
- Work with case managers, supervisors, Medical Directors, and health and behavioral health programs to address barriers.
- Present cases for multidisciplinary review at conferences.
- Partner with members’ Child and Family Teams.
- Flag and escalate concerns about quality of care.
- Arrange appropriate services to address members’ covered benefits and healthcare needs.
- Use motivational interviewing to encourage engagement and healthy behavior changes.
- Coach and support members in making independent healthcare and lifestyle choices.
- Help members take an informed role in healthcare decisions.
- Act as a central contact and respond to urgent care and access gaps.
- Apply case and quality management procedures and follow regulatory and accreditation guidance.
Zahteve
- A bachelor’s degree or a non-licensed master’s-level clinical degree is required.
- A degree in behavioral health, human services, health services, or public health is preferred.
- At least two years of experience in behavioral health, social services, or human services.
- At least two years of experience using personal computers, keyboards, multiple systems, and Microsoft Office applications, including Outlook, Word, Excel, and SharePoint.
- At least two years of experience in children’s mental health, child welfare, developmental disabilities, juvenile justice, or public-sector human services or behavioral healthcare, delivering community-based services to children, youth, and their families or caregivers.
- At least two years of experience with family and community systems and resources, case management, child and family counseling or therapy, child protection, or child development.
- At least two years of experience with Ohio service delivery systems, including local community networks and resources.
- Must live in Ohio.
- Must be able and willing to travel within the assigned region up to 50% of the time.
- Reliable transportation is required.
- Must be able and willing to work outside core business hours when needed.
- Case management and discharge planning experience is preferred.
- Managed care experience is preferred.
- Medicaid experience is preferred.
Ugodnosti
- Eligibility for a 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.
- Additional resources to support physical, emotional, and financial well-being.
- Mileage reimbursement under the company’s expense reimbursement policy.