Arc's Assistive Technology (at) Services
Care Coordinator (North East Region) OhioRISE
Arc's Assistive Technology (at) Services, Columbus, Ohio, United States, 43224
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose‑driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary This is a full‑time field‑based telework position, located in Ohio. The role requires the ability to travel within the assigned region of Northeast Ohio to member homes and other requested member locations, up to 50% or more of the time. Applicants may reside within the Northeast region of Ohio. The preference is for candidates residing in Mahoning or Trumbull counties. Monday‑Friday 8‑5 pm with flexibility needed to work later to meet member needs.
Business Overview As part of the bold vision to deliver the “Next Generation” of managed care in Ohio Medicaid, OhioRISE will help struggling children and their families by focusing on the individual with strong coordination and partnership among MCOs, vendors, and ODM to support specialization in addressing critical needs. The OhioRISE Program is designed to provide comprehensive and highly coordinated behavioral health services for children with serious/complex behavioral health needs involved in, or at risk for involvement in, multiple child‑serving systems.
The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process, facilitating appropriate healthcare outcomes for members by providing care coordination, support, and education through the use of care management tools and resources. Must reside in Ohio.
Fundamental Components
Be clinically and culturally competent/responsive with training and experience necessary to manage complex cases in the community across child‑serving systems.
Evaluation of Members:
Using care management tools and data review, conduct a comprehensive evaluation of a referred member’s needs/eligibility and recommend an approach to case resolution or meeting needs by evaluating the member’s benefit plan and available internal and external programs/services. Identify high‑risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate.
Coordinate and implement assigned care plan activities and monitor care plan progress.
Enhancement of Medical Appropriateness and Quality of Care:
Using a holistic approach, consult with case managers, supervisors, Medical Directors and/or other health/behavioral health programs to overcome barriers to meeting goals and objectives; present cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.
Work collaboratively with the members’ Child and Family Teams.
Identify and escalates quality of care issues through established channels.
Utilize negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs.
Utilize influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum health.
Provide coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
Help member actively and knowingly participate with their provider in healthcare decision‑making.
Serve as a single point of contact for members and assist members to remediate immediate and acute gaps in care and access.
Monitoring, Evaluation and Documentation of Care:
Utilize case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Pay Range The typical pay range for this role is: minimum $21.10 – maximum $36.78. The pay range represents the base hourly rate or annual full‑time salary for the grade. The actual base salary offer will depend on experience, education, geography and other factors. The position is eligible for a CVS Health bonus, commission or short‑term incentive program in addition to the base pay range.
Benefits In addition to your compensation, enjoy the rewards of an organization that puts its heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available. The Company provides a fully paid term life insurance plan to eligible employees, and short‑term and long‑term disability benefits. CVS Health also offers numerous well‑being programs, education assistance, free development courses, a CVS store discount and discount programs with participating partners. Company employees enjoy paid time off (PTO) or vacation pay, paid holidays throughout the calendar year, sick time and other paid time off consistent with state law and Company policies.
Required Qualifications
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 a public sector human services or behavioral health care field, providing community‑based services to children and youth, and their family/caregivers
2+ years of experience in one or more of the following areas of expertise: 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 up to 50% of the time; some travel to the New Albany office may be required for trainings/meetings
Reliable transportation required; mileage is reimbursed per expense reimbursement policy
Willing and able to work beyond core business hours of Monday‑Friday 8 am‑5 pm, as needed
Preferred Qualifications
Case management and discharge planning experience
Managed Care experience
Medicaid experience
Education Must hold a Bachelor’s degree or a non‑licensed master’s level clinician degree, with behavioral health, human services, health services or public health. Preferred majors: psychology, social work, marriage and family therapy, counseling, juvenile justice.
Time Type Full‑time, 40 per week.
Great Benefits for Great People
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No‑cost programs for all colleagues
including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues
including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
Other Information Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Application closes on 01/31/2026. For more information on benefits visit https://jobs.cvshealth.com/us/en/benefits. For detailed job information and application, view the job posting at jobs.CVSHealth.com/benefits.
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Position Summary This is a full‑time field‑based telework position, located in Ohio. The role requires the ability to travel within the assigned region of Northeast Ohio to member homes and other requested member locations, up to 50% or more of the time. Applicants may reside within the Northeast region of Ohio. The preference is for candidates residing in Mahoning or Trumbull counties. Monday‑Friday 8‑5 pm with flexibility needed to work later to meet member needs.
Business Overview As part of the bold vision to deliver the “Next Generation” of managed care in Ohio Medicaid, OhioRISE will help struggling children and their families by focusing on the individual with strong coordination and partnership among MCOs, vendors, and ODM to support specialization in addressing critical needs. The OhioRISE Program is designed to provide comprehensive and highly coordinated behavioral health services for children with serious/complex behavioral health needs involved in, or at risk for involvement in, multiple child‑serving systems.
The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process, facilitating appropriate healthcare outcomes for members by providing care coordination, support, and education through the use of care management tools and resources. Must reside in Ohio.
Fundamental Components
Be clinically and culturally competent/responsive with training and experience necessary to manage complex cases in the community across child‑serving systems.
Evaluation of Members:
Using care management tools and data review, conduct a comprehensive evaluation of a referred member’s needs/eligibility and recommend an approach to case resolution or meeting needs by evaluating the member’s benefit plan and available internal and external programs/services. Identify high‑risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate.
Coordinate and implement assigned care plan activities and monitor care plan progress.
Enhancement of Medical Appropriateness and Quality of Care:
Using a holistic approach, consult with case managers, supervisors, Medical Directors and/or other health/behavioral health programs to overcome barriers to meeting goals and objectives; present cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.
Work collaboratively with the members’ Child and Family Teams.
Identify and escalates quality of care issues through established channels.
Utilize negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs.
Utilize influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum health.
Provide coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
Help member actively and knowingly participate with their provider in healthcare decision‑making.
Serve as a single point of contact for members and assist members to remediate immediate and acute gaps in care and access.
Monitoring, Evaluation and Documentation of Care:
Utilize case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Pay Range The typical pay range for this role is: minimum $21.10 – maximum $36.78. The pay range represents the base hourly rate or annual full‑time salary for the grade. The actual base salary offer will depend on experience, education, geography and other factors. The position is eligible for a CVS Health bonus, commission or short‑term incentive program in addition to the base pay range.
Benefits In addition to your compensation, enjoy the rewards of an organization that puts its heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available. The Company provides a fully paid term life insurance plan to eligible employees, and short‑term and long‑term disability benefits. CVS Health also offers numerous well‑being programs, education assistance, free development courses, a CVS store discount and discount programs with participating partners. Company employees enjoy paid time off (PTO) or vacation pay, paid holidays throughout the calendar year, sick time and other paid time off consistent with state law and Company policies.
Required Qualifications
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 a public sector human services or behavioral health care field, providing community‑based services to children and youth, and their family/caregivers
2+ years of experience in one or more of the following areas of expertise: 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 up to 50% of the time; some travel to the New Albany office may be required for trainings/meetings
Reliable transportation required; mileage is reimbursed per expense reimbursement policy
Willing and able to work beyond core business hours of Monday‑Friday 8 am‑5 pm, as needed
Preferred Qualifications
Case management and discharge planning experience
Managed Care experience
Medicaid experience
Education Must hold a Bachelor’s degree or a non‑licensed master’s level clinician degree, with behavioral health, human services, health services or public health. Preferred majors: psychology, social work, marriage and family therapy, counseling, juvenile justice.
Time Type Full‑time, 40 per week.
Great Benefits for Great People
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No‑cost programs for all colleagues
including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues
including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
Other Information Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Application closes on 01/31/2026. For more information on benefits visit https://jobs.cvshealth.com/us/en/benefits. For detailed job information and application, view the job posting at jobs.CVSHealth.com/benefits.
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