Care Management Coordinator (North East Region) OhioRISE
Core
Full-time field-based telework role coordinating behavioral health services for children with serious/complex needs in Northeast Ohio, focusing on care coordination, support, and education for members and families.
Role type
Case Management Coordinator
Builds
Comprehensive and highly coordinated behavioral health service plans for children involved in multiple child-serving systems
Domain
Behavioral health / Child welfare / Medicaid managed care
Required skills
Case management, Care coordination, Clinical assessment, Community resource navigation, Motivational interviewing, Quality improvement, Data analysis, Family systems knowledge, Regulatory compliance, Negotiation
Preferred skills
Managed care experience, Medicaid 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; Provide coaching and support to empower members for independent health choices; Monitor care plan progress and document outcomes in compliance with guidelines.
Seniority
Mid-level, hands-on IC