Clinical Case Manager, Behavioral Health

Job not on LinkedIn

🕒 Yesterday

🏈 Ohio, Minnesota, +1 more states – Remote

🏈 Ohio – Remote ❄️ Minnesota – Remote 🤠 Texas – Remote

💵 $54.1k - $116.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

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.

📋 Description

• Conduct comprehensive assessments of referred members’ physical health, behavioral health, needs, and eligibility • Evaluate benefit plans and internal and external programs/services to determine case-resolution approaches • Apply clinical judgment and strategies to reduce risk factors and address complex clinical indicators • Perform crisis intervention for members experiencing behavioral health or medical crises • Refer members to appropriate clinical providers and provide crisis follow-up • Apply clinical criteria, guidelines, case-management plans, policies, procedures, and regulatory standards • Consult with supervisors, Medical Directors, and other programs to overcome barriers to member goals • Present cases at multidisciplinary case conferences • Identify and escalate quality-of-care issues • Influence appropriate member care through communication with medical and behavioral health professionals • Use motivational interviewing to engage members and promote lifestyle and behavior changes • Coach and support members in making independent medical and healthy-lifestyle choices • Help members participate knowledgeably in healthcare decision-making with providers • Analyze utilization, self-report, and clinical data to identify comprehensive member needs • Develop and monitor plans of care with members and care teams • Manage crisis calls • Use case-management and quality-management processes in compliance with regulatory, accreditation, and company requirements

🎯 Requirements

• Unencumbered independent behavioral health clinical license in the state where the applicant resides and works: LMHC, LCSW, LISW, LMFT, LMSW, or LPC • 3+ years of direct clinical practice experience post master’s degree, such as in a hospital, ambulatory care, or outpatient clinic/facility • Minimum 3 years of behavioral health experience • Willingness to work standard business hours in EST or CST • Minimum of a Master’s degree in Behavioral/Mental Health or a related field • Preferred: case management and discharge planning experience • Preferred: crisis intervention skills • Preferred: managed care/utilization review experience • Ability to take and manage crisis calls

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program in addition to base pay range