Clinical Case Manager Behavioral Health - Maricopa County - Arizona

CVS Health; Phoenix (AZ); Remote; USD 60,000 - 130,000; Full time

Job summary

Join a forward-thinking healthcare organization as a Clinical Case Manager BH, where your expertise will directly impact the wellness of members in Maricopa County. This full-time telework position offers a unique opportunity to assess and coordinate care for individuals, ensuring they receive the support they need. With a focus on holistic health and integration, you'll utilize your clinical skills to navigate complex health issues and enhance member outcomes. Enjoy the flexibility of working remotely while making a meaningful difference in the lives of children and families. A competitive salary range and a sign-on bonus await you in this rewarding role.

Benefits

Sign-on bonus up to $5,000

Mileage reimbursement

Flexible working hours

Health insurance

Paid time off

Qualifications

• Masters prepared behavioral health clinician with current unrestricted state licensure required.
• 5+ years of clinical practice experience is essential.

Responsibilities

• Assessing, planning, implementing, and coordinating case management activities.
• Conduct evaluations of member's needs and facilitate transitions to Aetna programs.

Skills

Clinical judgment

Effective communication skills

Interviewing skills

Case management processes

Computer literacy

Education

Masters degree in behavioral health

Tools

MS Office Suite

Job description

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Position Summary

SIGN ON BONUS - Qualifying candidates may be eligible for up to a $5,000 sign on bonus upon hire.

This position requires the ability to travel in state with a personal vehicle up to 10% of the time. Qualified candidates must reside in Maricopa County and have reliable transportation, and proof of vehicle insurance.

Flexibility to work beyond the core business hours of Monday-Friday, 8am-5pm, is required. We are serving the needs of children and families that may require meeting after school, after work, etc.

The Clinical Case Manager BH is a full time telework position that requires some travel. This position is responsible for telephonically and/or face to face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness. Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration.

Fundamental Components:

1. Through the use of clinical tools and information/data review, conducts an evaluation of member's needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans.
2. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
3. Assessments take into account information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.
4. Reviews prior claims to address potential impact on current case management and eligibility.
5. Assessments include the member’s level of work capacity and related restrictions/limitations.
6. Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality.
7. Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management.
8. Utilizes case management processes in compliance with regulatory and company policies and procedures.
9. Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.
10. Demonstrates effective communication skills, both verbal and written.

Required Qualifications

• Masters prepared behavioral health clinician with current unrestricted state licensure required (LCSW, LMSW, LPC, LAC, LMFT, LAMFT).
• 5+ years of clinical practice experience.
• Must be Arizona based and willing and able to travel 10% of the time in Maricopa County. Mileage will be reimbursed per company policy.

Preferred Qualifications

• Case Management experience in an integrated model preferred.
• Bilingual in Spanish preferred.
• Computer literacy and demonstrated proficiency is required in order to navigate through internal/external computer systems, and MS Office Suite applications, including Word and Excel.

Education: Masters degree in behavioral health field required.

Pay Range: The typical pay range for this role is: $60,522.80 - $129,600.00. 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.

CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.