Clinical Case Manager – Behavioral Health

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🌽 Illinois – Remote

Although this job is listed in Illinois, this company may be open to hiring remote in other states.

💵 $66.6k - $142.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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CVS Health

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Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

📋 Description

• Acts as a liaison with member/client/family, employer, provider(s), insurance companies, and healthcare personnel as appropriate • Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care • Interacts with members/clients telephonically or in person • Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client’s appropriate condition management • Communicates with member/client and other stakeholders as appropriate (e.g., medical providers, attorneys, employers and insurance carriers) telephonically or in person • Prepares all required documentation of case work activities as appropriate • Interacts and consults with internal multidisciplinary team as indicated to help member/client maximize best health outcomes • Provides educational and prevention information for best medical outcomes • Applies all laws and regulations that apply to the provision of rehabilitation services

🎯 Requirements

• Active Licensed Clinical Social Worker (LCSW) in the state of Illinois with a Master’s degree in social work, OR Active Licensed Clinical Professional Counselor (LCPC) in the state of Illinois with a Master’s degree in counseling or related field • Minimum of 3-5 years of clinical experience, preferably in behavioral health • Minimum of 2-3 years of experience in case management, discharge planning, and/or home health care coordination • Strong analytical and problem-solving skills • Effective written and verbal communication skills • Strong organizational and interpersonal skills • Ability to work independently while collaborating effectively with interdisciplinary teams • Proficiency with standard corporate software applications (Microsoft Word, Excel, Outlook, PowerPoint) and ability to quickly learn proprietary applications

🏖️ Benefits

• 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 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