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** The **OhioRISE** **PRTF Coordinator** conducts routine care coordination, support, and education through the use of care management resources, in order to facilitate appropriate healthcare outcomes for members. They help implement projects, programs, and processes for case management. They will also apply practical knowledge of case management to administer best of class policies, procedures, and plans for the area. **What you will do** + Consults with case managers, supervisors, medical directors, and/or other health programs using a holistic approach. + Presents cases at case conferences to obtain a multidisciplinary review, in order to achieve optimal outcomes. + Identifies and escalates quality of care issues through established channels. + Demonstrates negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs. + Delivers influencing/motivational interviewing skills, in order to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health. + Provides coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices. + Assists in encouraging members to actively participate with their provider in healthcare decision-making. + Conducts comprehensive evaluations of referred members’ needs/eligibility using care management tools, recommending an approach to case resolution. **Required Qualifications** + 2+ years of experience in care coordination and/or customer-facing behavioral health. + Highly proficient in Microsoft Office products (Word, Excel, PowerPoint, Outlook). + Must reside in Ohio. **Preferred Qualifications** + Strong communication skills, both written and verbal. + Strong organizational skills. + Strong detail-oriented. + Keen ability to respond quickly, accurately, and appropriately. + Ability to stay adaptable amidst changing circumstances. + Strong technological skills. + High comfort level in dealing with highly sensitive and confidential information. + Bachelor's degree in Human Services or related field. **Education** + Associate’s degree in Human Services or related field, or equivalent experience (high school diploma + 2 years of relevant experience). **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $21.10 - $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. 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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **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. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 07/17/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.