Clinical Care Navigator - After Hours

Case Management Coordinator - Field - OhioRISE Northeast/Northwest Ohio

CVS Health · Danville, VA

Case Management Coordinator We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. This is a full-time field-based telework position, in Ohio. This position requires the ability to travelwithin 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 care coordination region of Ohio. Strongly prefers candidates to reside in one of the following counties: Marion, Crawford, Sandusky, Summit, Cuyahoga, Portage, Geauga, Lake, Ashtabula, Stark, or Belmont Monday-Friday 8-5pm with flexibility needed to work later to meet member needs. 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, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members 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: o Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member's needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. Identifies 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. o Coordinates and implements assigned care plan activities and monitors care plan progress. • Enhancement of Medical Appropriateness and Quality of Care: o Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health/behavioral health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes. o Works collaboratively with the members' Child and Family Teams. o Identifies and escalates quality of care issues through established channels. o Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs. o Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health. o Provides coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices. o Helps member actively and knowledgably participate with their provider in healthcare decision-making. o Serves 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: o Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. Required Qualifications: • Bachelor's degree or non-licensed master level clinician required • 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+ 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; Some travel to the New Albany office may be required for trainings/meetings: • Reliable transportation required • Mileage is reimbursed per our company expense reimbursement policy • Willing and able to work beyond core business hours of Monday-Friday, 8am-5pm, as needed. Preferred Qualifications: • Case management and discharge planning experience. • Managed Care experience. • Medicaid experience. Candidate will reside in Marion, Crawford, Sandusky, Summit, Cuyahoga, Portage, Geauga, Lake, Ashtabula, Stark, or Belmont County.Education 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. (i.e. psychology, social work, marriage and family therapy, counseling, juvenile justice). Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $21.10 - $40.90 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 08/31/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Data Collector Terry Soot Management Group (TSMG) is a field data collection company founded in 2017 in Europe. We collect data where automation is not possible. We count features, take pictures, make videos, record speech, and scan areas for every detail you need to make more informed decisions. Our field data collection teams are spread across Europe and North America, ready to accept new challenges. The goal of the project is to help collect images of streets, main points of interest and public areas. The project is performed on cars with 360 cameras mounted on top that image the area around the vehicle and store those images on computers inside the vehicle. Later, this data will be used to enhance one the most popular online maps in the world. The data collectors will be given specific routes around public streets and areas, specifically targeting commercial districts and historical sites. Due to poor weather conditions some areas will be visited multiple times in order to collect the best quality of imaging. The project is expected to last at least 3 months and will cover different city/state zones. The ideal candidate enjoys driving, knows well the area, traffic trends, is highly responsible and reliable. The schedule expected on the project is Monday-Friday, 8 hours/day 40 hours per week. You can work more than 8 hours if you will. Requirements • Must have a valid Driver License (driving experience, 1-2 yrs minimum) • Must have parking for a vehicle • Must be authorized to work in the US • Must pass the background check • Enjoys driving, with flexible schedule • Available for a minimum of 3 months • Responsible & Reliable • Good driving skills • Great communication skills • High level of responsibility • General car knowledge • Tech savvy (smartphone and basic apps) • Basic computer skills • Self-motivated and detailed oriented We would be happy to get to know you and your skills better and see how we can support each other's growth. Please apply and let's meet!

Spanish Intake Case Manager

Intelassist · Danville, VA

Work Setup: 2-3 weeks osnite and transition into a work from home set up. Work Schedule: Night Shift (Eastern Timezone) Location: Eastwood City Cyberpark Eastwood Avenue, Quezon City, Philippines, 1110 Position Overview: The Case Manager is responsible for managing and tracking incoming attorney referrals for clients in applicable states. Using spreadsheets, email, and phone communication, the Case Manager collects insurance and personal injury policy information, as well as signed liens, for underwriting review. When attorneys have not responded to requests, the Case Manager follows up by phone to obtain the required documentation. This role also supports administrative operations by entering new client referrals into the electronic health record (EHR), coordinating with internal departments, and providing appointment updates to referring attorneys through referral portals. Duties and Responsibilities: • Monitor multiple spreadsheets to track incoming attorney referrals for clients in applicable states. • Send initial emails requesting insurance information, personal injury policy coverage details, and signed liens from attorneys. • Follow up with attorneys by phone when requested information has not been received. • Enter new client referrals into the electronic health record (EHR) so the front desk can schedule appointments. • Submit completed documentation to the underwriting team for review. • Notify the underwriting service when attorneys request medical records or billing. • Update referral source portals with appointment statuses and other case-related information. • Maintain accurate records and ensure timely completion of all assigned referrals. • Manage a high volume of referrals while meeting established turnaround times. Job Requirements: • Bachelor's Degree of Healthcare related field • Bilingual in English and Spanish preferred. • Atleast 5 years of experience as a Case Manager • Atleast 5 years behavioral Health Space • Handled a US based client. • Amenableto work in Eastwood, Libis Quezon City during onboarding period. What benefits await you by joining Intelassist? • Global career advancement and networking opportunities. • Access to both virtual and on-site intensive courses for career and personal development enhancement. • Monetary rewards for successful referrals that are hired. • Guaranteed weekends off and a total of 20 paid leave days upon regularization. • Collaborative work environment • Eligibility for Health Maintenance Organization (HMO) coverage starting from the first month of employment, with coverage of up to 100,000 PHP per illness. WHY INTELASSIST? We grow together. We value your effort. We aim to empower you.

Customer Service Representative As a Customer Service Representative, you'll be responsible for providing a well-stocked and well-maintained department while providing superior customer service. You'll stock and properly rotate products on a daily basis, while maintaining all departmentand safety / sanitation standards. Key responsibilities & essential functions include: • Stocking: Stocks and rotates items as needed Assists with inventory control; loads, unloads, and moves product Organizes, cleans, and prepares back area for the night crew and incoming trucks Organizes merchandise on pallets to make the department presentable to the public Ensures integrity of shelf tags and signage in department; may create / prepare signage, as needed Maintains standards in shrink, safety, inventory control, and sanitation Checks shipments for out-of-date and damaged product to ensure freshness and quality of products Builds, stocks, maintains, and takes down store displays Performs the duties of Customer Service Assistant as needed • Customer Service: Provides superior customer service Answers customer questions regarding products and assists them with selections; helps customers locate store merchandise • Sales: Merchandises product effectively Uses suggestive selling techniques to meet customer needs and build department sales • Food Safety / Sanitation: Cleans and sanitizes sales floor, display cases, prep areas, and equipment Properly handles and maintains the operation of all equipment Complies with departmental SOPs and store operating procedures Additional department-specific responsibilities / pre-requisites may include: • Beauty: Knowledge of beauty and cosmetic aids • Drugstore / General Merchandise: Prepares tags and signs as needed • Grocery: Organizes, cleans, and prepares back area for the night crew and incoming trucks Prepares tags and signs as needed • Texas Backyard: Passion for outdoors Ability to complete Green Thumb training (H-E-B internal training) • Entertainment: Knowledge in the audio / video field Knowledge of specialty products, movies, music, electronics, and video games Qualifications & key requirements: • Age Requirement: 18+ • Work Experience: Knowledge/Skills/Abilities - Required • Strong customer service skills • Communication and interpersonal skills • Reading and writing skills • Planning and organizing skills • Education: HS Diploma or GED (or equivalent) - Required • Licenses/Certifications: Completion of Company Orientation and Safety Training upon hire Physical demands & working conditions: • Function in a fast-paced, retail environment, in detailed and precise tasks • Work with customers, staying attentive to their needs • Perform the following, based on your department: • Beauty: Constantly reach at waist, grasp Frequently stand, walk, reach at shoulder, reach at knee, stoop, pivot, pinch, perform fine motor movements Occasionally sit, reach at overhead, reach at floor, bend, squat, crouch, kneel, climb stairs, climb ladders, twist, push / pull with arms Occasionally be exposed to cold, loud noise, and wet conditions Demonstrate the ability to lift 30 lbs, and manage in excess of 30 lbs • Drugstore / General Merchandise: Constantly reach at waist, pivot, grasp Frequently stand, walk, reach at shoulder, reach at knee, stoop, push / pull with arms, pinch, perform fine motor movements, ulnar / radial deviation, extend and flex wrists Occasionally sit, reach at overhead, reach at floor, bend, squat, crouch, kneel, climb stairs, climb ladders, twist Occasionally be exposed to cold, loud noise, and wet conditions Demonstrate the ability to lift 55 lbs, and manage in excess of 65 lbs • Grocery: Constantly reach at waist, pivot, grasp Frequently stand, walk, reach at shoulder, reach at knee, stoop, push / pull with arms, pinch, perform fine motor movements, ulnar/ radial deviation, extend and flex wrists Frequently be exposed to cold conditions Occasionally sit, reach at overhead, reach at floor, bend, squat, crouch, kneel, climb stairs, climb ladders, twist Occasionally be exposed to loud noise, and wet conditions Demonstrate the ability to lift 65 lbs, and manage in excess of 135 lbs • Texas Backyard: Constantly reach at waist, grasp Frequently stand, walk Occasionally reach at overhead, reach at shoulder, reach at knee, reach at floor, bend, stoop, squat, crouch, kneel, climb stairs, climb ladder, pivot, twist, push / pull with arms, pinch, perform fine motor movements Occasionally be exposed to wet conditions and loud noise Frequently be exposed to ambient temperatures Demonstrate the ability to lift 65 lbs, and manage in excess of 65 lbs • Healthy Living: Constantly stand, reach at shoulder, reach at waist, pivot, grasp, pinch Frequently walk, reach at overhead, reach at knee, reach at floor, stoop, squat, crouch, kneel, cervical flexion Occasionally bend, crawl, climb stairs, twist, push / pull with arms, perform fine motor movements Occasionally be exposed to cold, loud noise, and wet conditions Must be able to lift 50 lbs, and manage in excess of 50 lbs