[Hiring] Clinical Case Manager - Licensed Behavioral Health Clinician @CVS Health
Role Description
This role involves utilizing your clinical expertise to help guide members through complex health journeys and ensure they receive the care and support they need.
• Leverage advanced clinical judgment and critical thinking to assess member needs
• Develop care plans and coordinate with providers
• Connect individuals to psychosocial wraparound services
• Promote effective resource utilization and drive optimal, cost-effective health outcomes
Key Responsibilities
• Conduct comprehensive assessments using clinical tools and data to determine member needs and eligibility
• Evaluate benefit plans and available resources to guide care planning
• Apply clinical strategies to reduce risk factors and address complex health indicators
• Provide crisis intervention and follow-up to ensure members receive appropriate behavioral and medical care
• Collaborate with providers and internal teams to develop and monitor personalized care plans
• Use motivational interviewing to engage members in their health journey and promote lifestyle changes
• Identify and escalate quality-of-care concerns through established channels
• Ensure compliance with regulatory and accreditation standards
Qualifications
• Master’s degree in Behavioral/Mental Health or related field (e.g., Social Work, Counseling, Psychology)
• Active, unrestricted independent clinical license in your state: LCSW, LISW, LCPC, LP, LMFT, LMHC
• 3+ years of post-master’s clinical experience in hospital, outpatient, or ambulatory settings
• 3+ years of experience in behavioral health and substance use disorder care
• Strong communication skills with the ability to manage crisis calls and multitask (talk and type simultaneously)
• Proficiency in motivational interviewing and technology platforms
Preferred Qualifications
• Crisis intervention experience
• Background in managed care or utilization review
• Experience in case management and discharge planning
Benefits
• 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
• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• 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
• 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
Apply tot his job
Apply To this Job
This role involves utilizing your clinical expertise to help guide members through complex health journeys and ensure they receive the care and support they need.
• Leverage advanced clinical judgment and critical thinking to assess member needs
• Develop care plans and coordinate with providers
• Connect individuals to psychosocial wraparound services
• Promote effective resource utilization and drive optimal, cost-effective health outcomes
Key Responsibilities
• Conduct comprehensive assessments using clinical tools and data to determine member needs and eligibility
• Evaluate benefit plans and available resources to guide care planning
• Apply clinical strategies to reduce risk factors and address complex health indicators
• Provide crisis intervention and follow-up to ensure members receive appropriate behavioral and medical care
• Collaborate with providers and internal teams to develop and monitor personalized care plans
• Use motivational interviewing to engage members in their health journey and promote lifestyle changes
• Identify and escalate quality-of-care concerns through established channels
• Ensure compliance with regulatory and accreditation standards
Qualifications
• Master’s degree in Behavioral/Mental Health or related field (e.g., Social Work, Counseling, Psychology)
• Active, unrestricted independent clinical license in your state: LCSW, LISW, LCPC, LP, LMFT, LMHC
• 3+ years of post-master’s clinical experience in hospital, outpatient, or ambulatory settings
• 3+ years of experience in behavioral health and substance use disorder care
• Strong communication skills with the ability to manage crisis calls and multitask (talk and type simultaneously)
• Proficiency in motivational interviewing and technology platforms
Preferred Qualifications
• Crisis intervention experience
• Background in managed care or utilization review
• Experience in case management and discharge planning
Benefits
• 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
• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• 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
• 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
Apply tot his job
Apply To this Job