Behavioral Health Case Manager – Care Coordination

4004 Aetna Medicaid Administrators; Illinois; Hybrid; USD 67,000 - 143,000; Full time

Job summary

CVS Health in Illinois seeks a Case Manager to assess and coordinate care for members with complex health and social needs. You will facilitate benefits, advocate for services, and collaborate with providers to promote quality outcomes.

The role requires 3–5 years clinical experience and 2–3 years CM, with travel up to 50–75% across specified areas. Strong analytical and communication skills, plus proficiency in MS Office, are essential.

Qualifications

• Requires Illinois residence with clinical experience.
• 3–5 years clinical practical experience; 2–3 years CM, discharge planning, or home health coordination.
• Excellent analytical, problem-solving, and communication abilities.
• Ability to work independently and travel up to 50–75%.

Responsibilities

• Assess member needs and eligibility; plan, coordinate, and advocate for care.
• Collaborate with care teams, providers, and community resources to ensure appropriate benefits.
• Monitor plans of care; ensure quality and cost-effective outcomes; document appropriately.

Skills

Analytical skills

Problem solving

Communication skills

Organizational skills

Interpersonal skills

Independent work

Education

Master’s Degree in Behavioral/Mental Health or related field

LCSW or LCPC in IL

Certified Case Manager (CCM) preferred

Tools

MS Word

Excel

Outlook

PowerPoint

Job description

CVS Health in Illinois seeks a Case Manager to assess and coordinate care for members with complex health and social needs. You will facilitate benefits, advocate for services, and collaborate with providers to promote quality outcomes.

The role requires 3–5 years clinical experience and 2–3 years CM, with travel up to 50–75% across specified areas. Strong analytical and communication skills, plus proficiency in MS Office, are essential.