Field Trainer, Northeast
Dandy$82,100 - $95,000/year
Full Time
Mid-level (3 to 4 years), Senior (5 to 8 years)
Care Management Coordinator - Field - OhioRISE NE Ohio - prefer Lorain, Medina, Cuyahoga, or Summit Counties at CVS Health
Cincinnati, Ohio, United States
Not SpecifiedCompensation
Junior (1 to 2 years), Mid-level (3 to 4 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Managed Care, Behavioral HealthIndustries
Requirements
- Must reside in Ohio, preferably in Lorain, Medina, Cuyahoga, or Summit Counties
- Ability to travel within the assigned Northeast Ohio region to member homes and other locations, up to 50% or more of the time
- Clinically and culturally competent/responsive with training and experience necessary to manage complex cases in the community across child-serving systems
- Availability for full-time field-based telework, Monday-Friday 8-5pm with flexibility to work later to meet member needs
Responsibilities
- Conduct comprehensive evaluation of referred member's needs/eligibility using care management tools and data review; recommend approach to case resolution by evaluating benefit plan and available programs/services
- Identify high risk factors and service needs impacting member outcomes; refer to clinical case management or crisis intervention as appropriate
- Coordinate and implement assigned care plan activities; monitor care plan progress
- Consult with case managers, supervisors, Medical Directors, and other programs using a holistic approach to overcome barriers; present cases at case conferences for multidisciplinary review to achieve optimal outcomes
- Work collaboratively with members' Child and Family Teams
- Identify and escalate quality of care issues through established channels
- Utilize negotiation skills to secure appropriate options and services to meet member's benefits and healthcare needs
- Use influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes for optimum health
- Provide coaching, information, and support to empower members to make independent medical and healthy lifestyle choices
- Help members actively participate with their provider in healthcare decision-making
- Serve as a single point of contact for members; assist in remediating immediate and acute gaps in care and access
- Utilize case management tools for monitoring, evaluation, and documentation of care
Skills
Case Management
Care Coordination
Behavioral Health
Cultural Competence
Critical Thinking
Member Education
Healthcare Outcomes
Medicaid
OhioRISE
Field Travel
CVS Health
Comprehensive pharmacy and healthcare services
About CVS Health
CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.
Woonsocket, Rhode IslandHeadquarters
1963Year Founded
DEBTCompany Stage
Healthcare, Consumer GoodsIndustries
10,001+Employees
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Disability Insurance
401(k) Retirement Plan
Company Equity
Wellness Program
Professional Development Budget
Paid Vacation
Paid Holidays
Risks
Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.
The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.
The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.
Differentiation
CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.
The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.
CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.
Upsides
Expansion of telehealth services allows CVS to reach more patients remotely.
Increased consumer interest in wellness boosts demand for CVS's health-related products.
The trend towards value-based care aligns with CVS's integrated healthcare approach.
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