Clinical Case Manager – Licensed Behavioral Health Clinician

Clinical Case Manager – Licensed Behavioral Health Clinician

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.

Position Summary

Behavioral Health Case Manager, 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.

Key Responsibilities

Member Assessment & Crisis Support

• Telephonic clinical case management with Medicare population.
• Uses Motivational Interviewing and engagement interventions to optimize member participation in case management programs.
• Completes a Comprehensive Assessment and Plan of care.
• Will document in clinical systems to support legacy Aetna and Coventry membership.
• Provides BH consultation and collaboration with Aetna partners.
• Active participation in clinical treatment rounds.
• Active participation in team activities focused on program development. Innovative thinking expected.
• The majority of time is spent at a desk on telephonic member outreaches and computer documentation.
• Assist members with locating community based behavioral health resources.

Required Qualifications

• 3+ years of direct clinical practice experience
• An active and unrestricted clinical behavioral health license in state of residence is required (ex: LPC, LCSW, LMFT, LISW)

Preferred Qualifications

• Crisis intervention skills preferred
• Managed care/utilization review experience preferred
• Case management and discharge planning experience preferred

Education and Licensing

• Minimum of a Master's degree in Behavioral/Mental Health or related field (eg: Social Work, Counseling, Psychology)

Additional Requirements

Looking for qualified individual with experience in behavioral health to work on a multi-disciplinary team to impact the health & wellness of the Medicare population. Must possess time management and organizational skills with ability to multi-task while working in a fast-paced environment. Must be able to tolerate sitting while documenting on computer majority of day. Motivational Interviewing experience a plus. Required to use a residential broadband service with internet speeds of at least 25 mbps/3mbps in order to ensure sufficient speed to adequately perform work duties.

Some candidates may be eligible for partial reimbursement of the cost of residential broadband service.

Why Join Us?

• 100% Remote:
  Work from your home - anywhere in the U.S.
• Work-Life Balance:
  No nights, weekends, or holidays
• Collaborative Culture:
  Partner with experienced clinicians and medical directors
• Purpose-Driven Work:
  Help members navigate complex health challenges

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,095.00 - $

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.

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.