Young Adult Transitional Administrator (OhioRISE)

Job DescriptionBusiness OverviewAs part of the bold vision to deliver the "Next Generation" of managed care in Ohio Medicaid, Ohio RISE 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.This is a full time telework position in Ohio. The Young Adult Transitional Administrator is a state licensed clinical practitioner who collaborates with adult welfare, adult corrections and other adult-serving agencies; and is responsible to oversee the adult's service delivery system. The Young Adult Transitional Administrator oversees the development and implementation of community support programs and processes that ensure the needs of adults and families are met. Fundamental Components: Collaborates with adult welfare, adult corrections, and other adult-serving agencies, as well as internal teams to ensure coordination of efforts. Ensures that all service needs, including community-based supports, are available to OhioRISE members aged 18 and older, emphasizing regional variations. Creates pathways through formal and informal partnerships so parents and transition age youth can easily access necessary community supports and services. Builds capacity for preventive community services to keep children in the home and families thriving. Works with PRTF industry on change management to transform workforce capabilities and prepare them to shift to community-based services where appropriate. Oversees the adult's system service delivery system consistent with the state. Oversees the design and implementation of the integrated delivery programs [Behavioral Health (BH), Physical Health (PH), and Social Determinants of Health (SDoH)] to ensure the needs of adults and their families in the health system are met. Ensures collaboration with adult welfare agencies and the justice system. Coordinates with members of various State agencies to ensure that programs developed reflect the goals and values of the ASoC. Develops and implements practice adjustments and policy and procedure revisions. Provides training and support in effort to provide continuous improvement in serving adults and families. Coordinates the assimilation of measures with continuous quality improvement efforts at the provider and network levels. Establishes a positive organization and company image within the state health care community. Participates in shaping state integrated (BH, PH and SDoH) health system of care and resolving issues and challenges identified. Establishes and maintains on-going relationships with community organizations and contract stakeholders. Ensures that the behavioral health care needs of members are well served. Establishes and maintains ongoing relationships with key agencies, providers, physicians, hospitals, advocacy groups and State officials. Ensure integrated (BH, PH and SDoH) services are provided to Medicaid-eligible adults. Collaborates with state entities. Creates effective organizational structure, roles and jobs. Leads by example to create desired culture and motivated staff. Establishes a positive organization and company image within the state health care community. Support delivery of care coordination by participating in the Child and Family Teams, providing expert support to care coordinators, and collaborating with stakeholders such as state agencies and advocacy organizations. Identify and address the unique needs of members and their families. Collaborate with Ohio's Educational Service Centers throughout the state to identify opportunities for collaborative learning, to sponsor community events, and to participate in advocacy.Required Qualifications Must reside in Ohio. An Ohio licensed Clinical practitioner with current, unrestricted licensure commensurate with educational field (LISW, LPCC/PCC, IMFT, or RN with behavioral health experience). 5+ years of experience in a public sector 5+ years of experience as an Adult's System Administrator OR working for a managed health care organization overseeing collaboration with adult welfare agencies and the justice system. Must possess lived experience (personal experience parenting or family engagement of a child or youth with significant behavioral health challenges or co-occurring disorders) OR professional experience in child-serving systems. 3+ years of experience with personal computers, keyboard navigation, and MS Office Suite applications. Willing and able to work beyond core business hours, Monday-Friday, 8 AM-5 PM. Willing and able to travel within the state of OH. Must possess reliable transportation, valid/active driver's license, and proof of vehicle insurance. 10-25% travel required statewide.COVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred Qualifications Managed care experience. Knowledge and understanding of the state Medicaid managed care market, regulations, practices, and integrated health system strongly preferred.Education Master's degree in a Behavioral Health field with LISW, LPCC, or IMFT. If Registered Nurse, minimum of Associate's degree required.Business OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. 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.

Created: 2025-09-06