Case Management Coordinator Field NE Region OhioRISE

About This Role

The Case Management Coordinator will facilitate appropriate healthcare outcomes for members by providing care coordination, support, and education through care management tools, focusing on children with serious/complex behavioral health needs in the OhioRISE program. This field-based telework position requires travel within Northeast Ohio to member homes and other locations.

Responsibilities

• Be clinically and culturally competent/responsive to manage complex cases in the community across child-serving systems.
• Conduct comprehensive evaluation of referred member's needs/eligibility and recommend an approach to case resolution.
• Identify high risk factors and service needs that may impact member outcomes, with appropriate referral to clinical case management or crisis intervention.
• Coordinate and implement assigned care plan activities and monitor care plan progress.
• Consult with case managers, supervisors, Medical Directors, and other health/behavioral health programs to overcome barriers to meeting goals and objectives.
• Work collaboratively with the members' Child and Family Teams.
• Identify and escalate 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.
• Provide coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
• Serve as a single point of contact for members and assist members in remediating immediate and acute gaps in care and access.

Requirements

• Bachelor’s degree or non-licensed master level clinician
• 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 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+ year 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.
• Reliable transportation.
• Ability to work beyond core business hours of Monday-Friday, 8am-5pm, as needed.
• Reside in Ohio, preferably Cuyahoga County

Qualifications

• Bachelor’s degree or non-licensed master level clinician required, with either degree being in behavioral health, human services, health services, or public health preferred.
• 2+ years of experience in behavioral health, social services, or human services, and 2+ years in children's mental health, child welfare, developmental disabilities, juvenile justice, or public sector human services providing community-based services to children and youth.

Nice to Have

• Case management and discharge planning experience.
• Managed Care experience.
• Medicaid experience.

Skills

* Required skills

Benefits