DJJ Case Management Coordinator - Field - Southern Bluegrass Region, KY

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Position Summary

The Juvenile Justice Care Management Coordinator (CMC) utilizes critical thinking and clinical judgment to collaborate and implement the case management process, in order to facilitate appropriate juvenile justice and healthcare outcomes for members by providing advocacy, care coordination, support and education for members through the use of care management tools and resources.

Schedule for this position is Monday - Friday, 8 : 00am to 5 : 00pm EST.

This position is field-based and requires routine regional in-state travel 80-90% of the time; use of personal vehicle is required.

Qualified candidates must have reliable transportation.

This position is assigned to the Southern Bluegrass region which serves Boyle, Clark, Estill, Fayette, Garrard, Jessamine, Lincoln, Madison, Mercer, and Powell Counties.

Qualified candidates must reside in or adjacent to one of the counties listed.

Fundamental Components :

Evaluation of Members :

Through the use of care management tools and information / data review, conducts comprehensive assessment of member’s needs / eligibility and recommends an approach to case resolution and / or meeting needs, including their legal, educational and biopsychosocial needs by evaluating member’s benefit plan and available internal and external resources.

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.

Coordinates and implements assigned care plan activities and monitors / updates care plan to reflect progress that supports the optimal member health, wellness and compliance with juvenile justice system guidelines.

Collaborates with partners from the state and criminal justice systems to ensure that the member understand and fulfill their legal requirements.

Enhancement of Medical Appropriateness and Quality of Care :

Using holistic approach consults with case managers, supervisors, Medical Directors and / or other 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.

Identifies and escalates quality of care issues through established channels.

Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and / or healthcare needs.

Utilizes influencing / motivational interviewing skills to ensure maximum member engagement and promote lifestyle / behavior changes to achieve optimum level of health and wellbeing.

Provides coaching, information and support to empower the member to make ongoing independent medical and / or healthy lifestyle choices.

Helps member actively and knowledgably participate with their provider in healthcare decision-making.

Help members actively and knowledgably participate with partners within the Juvenile Justice and court systems to decrease recidivism rates and gain access to needed services and supports.

Monitoring, Evaluation and Documentation of Care :

Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

Required Qualifications

Qualified candidates must reside in or adjacent to one of the counties listed within the Southern Bluegrass Region : Boyle, Clark, Estill, Fayette, Garrard, Jessamine, Lincoln, Madison, Mercer, or Powell County.

2+ years experience or detailed knowledge of the Foster Care systems, Adoption Assistance, the delivery of Behavior Health Services, Trauma-informed Care, ACEs, Crisis Intervention services, and evidence-based practices applicable to the Kentucky SKY populations, is required.

2+ years' experience and functional knowledge with the Juvenile Justice systems.

2+ years’ experience in behavioral health or social services.

Computer literacy and demonstrated proficiency is required in order to navigate through internal / external computer systems, and MS Office Suite applications, including Word and Excel

Flexibility to work beyond core business hours of Monday-Friday, 8am-5pm EST. is required, as we are serving the needs of children and families that may require working after school, after work, etc.

Preferred Qualifications

Case management and discharge planning experience preferred.

Managed Care experience preferred.

Education

Minimum of a Bachelor’s Master’s degree or a non-licensed master level clinician is required; with either degree being in behavioral health or a relevant human services field of study required (social work, psychology, marriage and family therapy, counseling).

Pay Range

The typical pay range for this role is :

$19.52 - $36.78

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.

In addition to your compensation, enjoy the rewards of an organization that puts our 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 for eligible employees.

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.

As for time off, Company employees enjoy Paid Time Off ( PTO ) or vacation pay, as well as paid holidays throughout the calendar year.

Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.