Clinical Case Manager Behavioral Health

Overview

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.

Fully remote

Standard business hours.

1 late day until 7pm your local time.

No holidays.

Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes.

Assessment of Members:
Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member’s needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services.

• Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution of member issues.
• Using advanced clinical skills, performs crisis intervention with members experiencing behavioral health or medical crisis and refers them to the appropriate clinical providers for thorough assessment and treatment, as clinically indicated. Provides crisis follow-up to members to help ensure they are receiving the appropriate treatment/services. Enhancement of Medical Appropriateness and Quality of Care:

Required qualifications:

• 3 years of direct clinical practice experience post master’s degree, e.g., hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility
• Requires knowledge of mental health and substance abuse disorders
• Must be able to talk on the telephone and type at the same time.
• Experience using Motivational Interviewing and good technological skills

One of the following license must be INDEPENDENTLY ACTIVE, UNRESTRICTED behavioral health unencumbered in the state where they work. One of the following:

• LCSW/ LICSW Licensed Clinical Social Worker/ Licensed Independent Clinical Social Worker
• LCPC Licensed Clinical Professional Counselor
• LPC Licensed Professional Counselor
• PsyD Licensed…