Care Management Coordinator – Field

Responsibilities

• Conduct comprehensive evaluations of referred members' needs and eligibility
• Evaluate benefit plans and internal and external programs/services to recommend case-resolution approaches
• 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 escalation quality-of-care issues
• Negotiate appropriate options and services to meet members' benefits and healthcare needs
• Use motivational interviewing and influencing skills to engage members and promote 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 address immediate gaps in care and access
• Apply case management and quality management processes in compliance with regulatory, accreditation, and company requirements
• Travel to member homes and other member locations within Northeast Ohio

• 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 public sector human services or behavioral health care, 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 50% of the time or more
• Some travel to the New Albany office may be required for trainings/meetings
• Reliable transportation required
• Willing and able to work beyond Monday-Friday, 8am-5pm, as needed
• Bachelor's degree or non-licensed master's-level clinician required, in behavioral health, human services, health services, or public health
• Candidates must reside in Ohio; candidates in the Northeast region or adjacent counties are eligible, with preference for Seneca, Lorain, Medina, Wyandot, or Crawford County
• Case management and discharge planning experience preferred
• Managed Care experience preferred
• Medicaid experience preferred

Demonstrates expertise in case management and quality management processes, with a strong focus on behavioral health and community-based services for children and families. Proficient in engaging members through motivational interviewing and navigating Ohio's delivery systems to ensure effective care planning and support.

• Case Management
• Behavioral Health Experience
• Motivational Interviewing
• Community-Based Services
• Ohio Delivery Systems

• Case Management
• Quality Management
• Behavioral Health
• Child and Family Counseling
• Discharge Planning
• Medicaid Knowledge
• Managed Care Experience
• Multi-System Navigation
• MS Office Suite
• Data Evaluation

• Coaching
• Communication
• Collaboration
• Negotiation
• Problem-Solving

• Bachelor's Degree in Behavioral Health
• Master's-Level Clinician (Non-Licensed)

• Child Welfare
• Developmental Disabilities
• Juvenile Justice
• Public Sector Human Services
• Family Systems

• MS Office Suite
• Share Point
• Electronic Health Records