Clinical Case Manager Behavioral Health

CVS Health; United States; Remote; USD 54,000 - 156,000; Full time

Job summary

CVS Health is seeking a clinical professional for a remote position focusing on behavioral health care. The role involves utilizing advanced clinical skills and judgment to assess member needs, facilitate care planning, and provide crisis intervention. Qualified candidates will hold a master's degree and have strong experience in clinical practice, mental health issues, and motivational interviewing.

Benefits

Affordable medical plan options

401(k) plan with matching contributions

Employee stock purchase plan

Wellness screenings programs

Paid time off and flexible work schedules

Qualifications

• 3 years direct clinical practice experience post master's degree.
• Knowledge of mental health and substance abuse disorders.
• Valid unrestricted independent professional behavioral health clinical license.

Responsibilities

• Conduct comprehensive assessments of referred members’ needs.
• Perform crisis intervention with members in crisis.
• Facilitate care planning and member issue resolution.

Skills

Crisis intervention skills

Motivational Interviewing

Clinical judgment

Technological skills

Education

Master's degree in Behavioral/Mental Health or related field

Job description

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

A Brief Overview

Fully remote in the USA.

Shift Monday-Friday standard business hours. No weekends and no holidays.

Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes.

What you will do

• Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member’s needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services.
• Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution of member issues.
• Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate clinical providers for thorough assessment and treatment, as clinically indicated. Provides crisis follow up to members to help ensure they are receiving the appropriate treatment/services.

For this role you will need Minimum Requirements

• 3 years of direct clinical practice experience post master's degree, e.g., hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility
• 3 years required knowledge of mental health and substance abuse disorders
• Must be able to talk on the telephone and type at the same time
• 3 years experience using Motivational Interviewing and good technological skills
• Valid unrestricted independent professional behavioral health clinical license to practice per state regulations in the state they reside in/ one or more or equivalent is required:
  LCSW Licensed Clinical Social Worker
  LISW Licensed Independent Social Worker
  LCPC Licensed Clinical Professional Counselor
  LP Licensed Psychologist
  LMFT Licensed Marriage and Family Therapist
  LMHC Licensed Mental Health Counselor

Preferred Qualifications

• Crisis intervention skills preferred Managed care/utilization review experience preferred.
• Case management and discharge planning experience preferred.
• Managed care/utilization review experience preferred.

Education

• Minimum of a Master's degree in Behavioral/Mental Health or related field (eg: Social Work, Counseling, Psychology)

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,095.00 - $155,538.00

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

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visithttps://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 07/05/2025

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