Clinical Case Manager – Behavioral Health SNP

Job not on LinkedIn

🔥 20 minutes ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

💵 $54.1k - $116.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 0%

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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

• Conduct comprehensive assessments of referred members' needs and eligibility • Develop case-resolution approaches and coordinate psychosocial wraparound services • Apply clinical judgment to address risk factors and 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 care barriers • Present cases at case conferences for multidisciplinary review • Identify and escalate quality-of-care issues • Influence appropriate member care through communication with medical and behavioral health professionals • Use motivational interviewing to promote member engagement and lifestyle or behavior changes • Provide coaching, information and support for independent healthcare decisions • Analyze utilization, self-report and clinical data to identify comprehensive member needs • Develop and monitor plans of care with members and care teams • Document and manage care in compliance with regulatory, accreditation and company requirements

🎯 Requirements

• 3+ years of direct clinical practice experience post master's degree, such as in a hospital, ambulatory care or outpatient clinic/facility • 3+ years of knowledge of mental health and substance abuse disorders • 3+ years of experience talking, speaking on the telephone and typing at the same time • 3+ years of experience using Motivational Interviewing and good technological skills • Valid unrestricted independent professional behavioral health clinical license to practice per state regulations in the state of residence; examples include LCSW, LSW, LISW, LCPC, LP, LMFT or LMHC • Master's Degree in Social Work or Counseling required • Ability to work Monday-Friday, 8:00am-5:00pm EST

🏖️ 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