Clinical Case Manager, Behavioral Health

CVS Health; Cincinnati (OH); On-site; USD 50,000 - 80,000; Full time

Job summary

An established industry player is seeking a Clinical Case Manager in Behavioral Health to enhance member care through proactive management and comprehensive assessments. This role involves applying advanced clinical judgment, conducting crisis interventions, and collaborating with healthcare providers to optimize health outcomes. Ideal candidates will be organized and tech-savvy, with a focus on holistic assessment and member engagement. Join a dynamic team in Ohio and enjoy a competitive salary, full benefits, and a flexible Monday-Friday schedule that promotes work-life balance.

Benefits

Full Benefits

Paid Holidays

Flexible Schedule

Qualifications

• Must hold a Licensed Independent Social Worker (LISW) license for Ohio.
• Self-motivated, organized, and tech-savvy individual preferred.

Responsibilities

• Conduct comprehensive assessments and evaluate member needs.
• Develop strategies to address complex clinical issues.
• Collaborate with healthcare professionals for optimal member care.

Skills

Clinical Judgment

Crisis Intervention

Assessment Skills

Care Coordination

Communication Skills

Team Collaboration

Education

Licensed Independent Social Worker (LISW)

Job description

Clinical Case Manager, Behavioral Health

Join to apply for the Clinical Case Manager, Behavioral Health role at CVS Health.

Position Overview

This Clinical Case Manager position with My Care of Ohio is field-based and open to candidates in Ohio, specifically from Butler, Clermont, Hamilton, or Warren County. Candidates must hold a Licensed Independent Social Worker (LISW) license for Ohio.

The role involves applying advanced clinical judgment to facilitate member health and behavioral healthcare, assessing and planning care, collaborating with providers, and coordinating psychosocial services. The goal is to optimize outcomes through resource application and cost-effective strategies.

Key Responsibilities

1. Conduct comprehensive assessments of member needs and eligibility, evaluating benefit plans and available services.
2. Develop strategies to mitigate risk factors and address complex clinical issues impacting care.
3. Perform crisis interventions for members experiencing behavioral health or medical crises, referring to appropriate providers, and following up on service delivery.
4. Adapt clinical guidelines and procedures to meet assessment needs, ensuring proper benefits administration.
5. Collaborate with healthcare professionals to influence member care and outcomes.
6. Coach members on healthcare decisions and healthy lifestyle choices, promoting active participation in their care.
7. Train and mentor junior colleagues on techniques and responsibilities.

Position Details

We are seeking a self-motivated, organized, and tech-savvy LISW to join our team. The position offers a competitive salary, full benefits, and a Monday-Friday schedule with flexibility and paid holidays. The role involves telephonic and face-to-face assessments to evaluate and coordinate member care, aiming to enhance overall wellness using clinical tools and data review.

Additional Information

Applicants must reside in one of the specified Ohio counties. The role emphasizes proactive care management, addressing barriers, and ensuring smooth transitions to appropriate services, with a focus on holistic assessment and member engagement.

Job Details

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Healthcare Provider
• Industries: Hospitals and Healthcare