Case Management Coordinator - Field - OhioRISE Northeast/Northwest Ohio
Core
Field-based Case 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 at-risk children and families
Domain
US Healthcare / Behavioral Health / Ohio Medicaid
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Care coordination, case management, evaluation of member needs, care plan implementation and monitoring, collaboration with multidisciplinary teams, quality of care monitoring, documentation, negotiation, motivational interviewing, coaching, knowledge of child-serving systems, knowledge of Ohio delivery systems
Preferred skills
Case management and discharge planning, Managed Care, Medicaid
Technologies
MS Office Suite (Outlook, Word, Excel, SharePoint), care management tools
Responsibilities
Conduct comprehensive evaluations of referred members' needs and eligibility; coordinate and implement assigned care plan activities; consult with case managers and medical directors to overcome barriers to care goals; present cases at multidisciplinary conferences; identify and escalate quality of care issues; secure appropriate options and services to meet member needs; empower members to make independent medical and lifestyle choices; serve as a single point of contact to remediate acute gaps in care; utilize case management processes in compliance with regulatory guidelines.
Seniority
Mid-level, hands-on IC
