Clinical Case Manager Behavioral Health

CVS Health; Union City (NJ); On-site; USD 55,000 - 70,000; Full time

Job summary

A leading health solutions company is seeking a Clinical Case Manager Behavioral Health to conduct assessments, develop care plans, and coordinate resources for members. This entry-level role requires travel and collaboration with care teams, emphasizing critical thinking and problem-solving skills.

Qualifications

• Entry level position requiring face-to-face assessments and care plan development.
• Full-time employment with 50-75% travel required.

Responsibilities

• Conduct assessments for members enrolled in Managed Long-Term Services and Supports.
• Develop care plans and coordinate community resources.

Skills

Critical Thinking

Problem Solving

Job description

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

As the nation’s leading health solutions company, CVS Health reaches millions of Americans through local presence, digital channels, and over 300,000 colleagues dedicated to caring for people in a connected, convenient, and compassionate manner.

Responsibilities

• Conduct face-to-face assessments for members enrolled in Managed Long-Term Services and Supports (MLTSS) and Dual Special Needs Programs (D-SNP/FIDE).
• Evaluate medical needs of non-MLTSS members to promote wellness and facilitate access to necessary services such as adult and pediatric medical daycare, personal care assistance, nursing facility requests, and program enrollments.
• Complete NJ Choice Certification as a condition of employment.
• Coordinate and collaborate with members, authorized representatives, PCPs, and care teams.
• Attend interdisciplinary meetings and advocate for members.
• Develop care plans, authorize services, and coordinate community resources.
• Document accurately and timely in electronic health records.
• Utilize critical thinking and problem-solving skills to address membership issues.
• Mentor new hires after achieving proficiency.
• This position requires 50-75% travel within Hudson and surrounding counties.

Qualifications and Details

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