Behavioral Health Case Manager / Member Navigator

CVS Health; USA; Remote; USD 54.000 - 117.000; Vollzeit

Benefits dieser Stelle

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Eligibility-based benefits

Zusammenfassung

CVS Health is seeking a Behavioral Health Case Manager / Member Navigator to support members with behavioral health needs, helping them navigate the healthcare system and stay connected to care. The role focuses on outreach after inpatient or ED events, arranging follow-ups, and reducing readmissions.

Key responsibilities include improving engagement with treatment plans, addressing barriers to access, coordinating with care teams, and leveraging community resources to support continuity of care.

Qualifikationen

• Prior clinical and/or managed care experience in healthcare.
• Bachelor's degree required.

Aufgaben

• Conduct outreach to members following behavioral health inpatient admissions and ED visits.
• Facilitate timely follow-up appointments.
• Improve member engagement with behavioral health treatment plans.
• Address barriers to accessing care.
• Coordinate with providers, care managers, and population health teams.
• Act on ADT notifications and discharge information to intervene quickly during high-risk transition periods.
• Support continuity of care and prevention of avoidable readmissions.

Kenntnisse

Clinical experience

Managed care

Ausbildung

Bachelor's degree

Jobbeschreibung

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

A significant portion of behavioral health quality gaps result from barriers that occur after a member leaves a facility or receives a referral, including inability to schedule appointments, transportation challenges, lack of provider understanding, medication barriers, and social determinants impacting treatment engagement. The Behavioral Health Case Manager / Member Navigator provides direct support to members experiencing behavioral health needs, helping them successfully navigate the healthcare system and remain connected to care.

The position will:

• Conduct outreach to members following behavioral health inpatient admissions and emergency department visits.
• Facilitate timely follow-up appointments.
• Improve member engagement with behavioral health treatment plans.
• Address barriers to accessing care.
• Connect members with community and social support resources.
• Coordinate with providers, care managers, and population health teams.
• Act on ADT notifications and discharge information to intervene quickly during high-risk transition periods.
• Support continuity of care and prevention of avoidable readmissions.

Required Qualifications

• Prior clinical and/or managed care experience in the healthcare industry or quality management.

Preferred Qualifications

• Behavioral Health experience
• Case management and discharge planning experience
• Managed Care experience

Education

Bachelors degree

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $54,095.00 - $116,760.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future

Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

• medical, dental, and vision coverage
• paid time off
• retirement savings options
• wellness programs
• other resources, based on eligibility

Additional details about available benefits are provided during the application process and on Benefits Moments.

Application Deadline

We anticipate the application window for this opening will close on: 11/01/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Our Work Experience

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.