Care Management Coordinator - Field - OhioRISE Central/SE Ohio
Core
Field-based Care Management Coordinator providing care coordination, support, and education for children with serious/complex behavioral health needs and their families within Ohio Medicaid systems.
Role type
Senior IC case management coordinator (behavioral health)
Builds
Comprehensive care plans and coordinated behavioral health services for children and families
Domain
US Healthcare / Behavioral Health / Medicaid / Child Welfare
Required skills
Case management, care coordination, community resource navigation, family systems knowledge, child welfare expertise, behavioral health assessment, care plan monitoring, stakeholder collaboration, regulatory compliance, motivational interviewing, data analysis
Preferred skills
Managed care experience, Medicaid program experience, discharge planning experience
Technologies
MS Office Suite (Outlook, Word, Excel, SharePoint), care management tools
Responsibilities
Conduct comprehensive evaluations of member needs and eligibility; coordinate and implement assigned care plan activities; consult with multidisciplinary teams to overcome barriers to care goals; identify and escalate quality of care issues; negotiate to secure appropriate services; empower members to make independent medical and lifestyle choices; serve as a single point of contact for members to remediate care gaps; monitor care plan progress and document care in compliance with guidelines.