Clinical Case Manager, Behavioral Health

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Logo of CVS Health

CVS Health

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

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.

📋 Description

• Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning • Conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution • Applies clinical judgment to the incorporation of strategies designed to reduce risk factors • Performs crisis intervention with members experiencing a behavioral health or medical crisis • Provides crisis follow up to members to help ensure they are receiving the appropriate treatment/services • Identifies and escalates quality of care issues through established channels • Utilizes influencing/motivational interviewing skills to ensure maximum member engagement • Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices • Develops and monitors established plans of care to meet the member’s goals • Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines

🎯 Requirements

• Unencumbered Independent Behavioral Health clinical license in the state where they reside and work: Licensed Mental Health Counselor (LMHC) • Licensed Clinical Social Worker (LCSW) • Licensed Independent Social Worker (LISW) • Licensed Marital and Family Therapist (LMFT) • Licensed Professional Counselor (LPC) • 3+ years of direct clinical practice experience post masters degree, e.g., hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility • 3+ years minimum of Behavioral Health experience • Applicants must be willing to work standard business hours in EST or CST.

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs

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