Behavioral Health Clinical Case Manager – LCPC/LCSW

Job not on LinkedIn

🔥 14 hours ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $66.6k - $142.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Develop, implement, support, and promote Health Services strategies, tactics, policies, and programs for Aetna • Facilitate appropriate member physical health and behavioral healthcare through assessment and care planning • Coordinate and collaborate directly with providers • Coordinate psychosocial wraparound services • Conduct comprehensive assessments of referred members’ needs and eligibility • Evaluate benefit plans and internal and external programs/services to determine case resolution approaches • Apply clinical judgment 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 for assessment and treatment • Provide crisis follow-up to ensure members receive appropriate treatment and services • Apply and interpret clinical criteria, guidelines, standardized case management plans, policies, procedures, and regulatory standards • Consult with supervisors, Medical Directors, and other programs to overcome barriers to care goals • Present cases at multidisciplinary case conferences • Identify and escalate quality-of-care issues through established channels • Communicate with medical and behavioral health professionals to influence appropriate member care • Use motivational interviewing to engage members and promote lifestyle and behavior changes • Coach and empower members to make 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 collaboratively with members and care teams • Use case management and quality management processes in compliance with regulatory, accreditation, and company requirements

🎯 Requirements

• Must reside in Illinois • Reliable transportation and willingness and ability to travel up to 25% of the time in and around the candidate’s home location • Active and unrestricted Licensed Clinical Social Worker (LCSW) or Licensed Clinical Professional Counselor (LCPC) license in Illinois • 3–5 years of direct clinical practice experience post master’s degree, such as in a hospital, ambulatory care, or outpatient clinic/facility setting • Master’s Degree in Behavioral/Mental Health or related field (required) • Confidence working at home and independently using virtual collaboration tools • Excellent analytical and problem-solving skills • Effective communication, organizational, and interpersonal skills • Ability to work independently • Effective computer skills, including navigating multiple systems and keyboarding • Proficiency with MS Word, Excel, Outlook, PowerPoint, and proprietary applications • Direct/hardwired internet connection to a modem/router within 7 feet of the computer • Minimum internet speed of 25 Mbps download and 3 Mbps upload • WiFi and satellite internet are not permitted • Quiet, secure, private, designated home virtual work location compliant with CVS Health and HIPAA guidelines • Must work within the state and city where currently living • Must provide own workspace furniture • Ability to use multiple monitors and navigate multiple applications simultaneously • Ability to use digital communication channels including email, calendar invites, Teams messaging, and virtual meetings • Experience with Microsoft Office 365 applications or similar Google Workspace tools • Ability to access secure systems such as VPN and EHR portals • Ability to follow computer and password security practices and identify suspicious emails or links • Ability to resolve common technical issues independently • Openness to learning new skills as the workplace evolves • Preferred: case management and discharge planning experience • Preferred: managed care/utilization review experience • Preferred: crisis intervention skills

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • Mileage reimbursement according to company expense reimbursement policy • Company-provided equipment including keyboard, monitor, computer, and headset • Remote work from home • Comprehensive benefits package for full-time employees