Clinical Case Manager, Behavioral Health

Job not on LinkedIn

🔥 2 minutes ago

🏈 Alabama, Arizona, +26 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote ⚜️ Louisiana – Remote 🦬 Montana – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🌪️ Oklahoma – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote

💵 $66.6k - $142.6k / 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

• Facilitate appropriate member physical health and behavioral healthcare through assessment and care planning • Coordinate directly with providers and collaborate with care teams • Coordinate psychosocial wraparound services and available resources • Conduct comprehensive assessments of referred members’ needs, eligibility, benefits, and services • Apply clinical judgment and strategies to reduce risk factors and address complex clinical indicators • Perform crisis intervention 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; present cases at case conferences • Identify and escalate quality-of-care issues • Use motivational interviewing to promote member engagement and healthy 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 • Manage case management and quality management processes in compliance with regulatory and accreditation guidelines • Take and manage crisis calls

🎯 Requirements

• Unencumbered independent behavioral health clinical license in the state where they reside and work: LMHC, LCSW, LISW, LMFT, or LPC • 3+ years of direct clinical practice experience post masters degree • 3+ years minimum of Behavioral Health experience • Willingness to work standard business hours in EST or CST • Case management and discharge planning experience preferred • Crisis intervention skills preferred • Managed care/utilization review experience preferred • Ability to take and manage crisis calls • Minimum of a Master’s degree in Behavioral/Mental Health or related field

🏖️ Benefits

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