Clinical Case Manager Behavioral Health - Monmouth and Ocean Counties

CVS Health; Toms River (NJ); On-site; USD 72,000 - 156,000; Full time

Job summary

CVS Health is seeking a Clinical Case Manager Behavioral Health to support health service strategies in Monmouth and Ocean Counties. This role involves developing care plans, conducting assessments, and collaborating with care teams to ensure quality healthcare delivery. Candidates must possess a Master's Degree and relevant licensure, with a signing bonus potential of up to $10,000 for eligible candidates.

Qualifications

• Licensed Clinical Social Worker or Licensed Social Worker in NJ required.
• 2+ years behavioral health experience.
• Successful completion of NJ Choice certification is a contingency of employment.

Responsibilities

• Conduct face-to-face assessments of members enrolled in various programs.
• Develop care plans and coordinate with care teams.
• Document accurately in the electronic health record.

Skills

Assessment

Communication

Critical Thinking

Education

Master's Degree in Social Work or Behavioral Health

Job description

Clinical Case Manager Behavioral Health - Monmouth and Ocean Counties

Join to apply for the Clinical Case Manager Behavioral Health - Monmouth and Ocean Counties role at CVS Health

Clinical Case Manager Behavioral Health - Monmouth and Ocean Counties

2 weeks ago Be among the first 25 applicants

Join to apply for the Clinical Case Manager Behavioral Health - Monmouth and Ocean Counties role at CVS Health

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. Position Summary: Signing bonus potential up to $10,000 for eligible external candidates who possess valid/current NJ Choice Certification. Develop, implement, support, and promote health service strategies, tactics, policies, and programs that drive the delivery of quality healthcare to our members. Health service strategies, policies, and programs are comprised of utilization management, quality management, network management, clinical coverage and policies. The position requires advanced clinical judgment and critical thinking skills in order to facilitate appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for care planning, direct provider collaboration, and effective utilization of available resources in a cost-effective manner. Strong assessment, writing and communication skills are required. Fundamental Components/Job Description: The Clinical Case Manager BH is responsible for conducting face to face visits using comprehensive assessments of members enrolled in Managed Long-Term Services and Supports program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). Care manager may also be responsible for face to face assessments with non-MLTSS members to evaluate the medical needs of the member to facilitate the member’s overall wellness and help them obtain the services they need to thrive by addressing requests for services such as adult medical daycare, pediatric medical daycare, personal care assistant, nursing facility custodial requests, personal preference program and MLTSS program enrollment. Successful completion of company sponsored NJ Choice Certification is requirement for continued employment. The care manager is responsible to coordinate and collaborate care with member/authorized representative, PCP, and any other care team participant. The care manager will attend interdisciplinary meetings and advocate on members behalf. The care manager works with member and care team to develop care plan and will authorize services within the MLTSS/ FIDE benefit. The care manager will also work with the member and care team to coordinate and assist with community resources. The care manager is responsible for documenting accurately and timely in the electronic health record. This position requires the care manager to use critical thinking and be able to problem solve any issues related to assigned membership. While this position is tele-work the care manager must work normal business hours. The Case Manager will also be expected, to mentor new hires, once, a level of proficiency has been attained in their role. 50 to 75% travel in Monmouth/Ocean and surrounding counties. Required Qualifications: Licensed Clinical Social Worker or Licensed Social Worker in NJ, 2+ years behavioral health experience/expertise, 50 to 75% travel in Monmouth/Ocean County and surrounding counties, Successful completion of the NJ Choice certification is a contingency of employment. As per NJ Division of Aging Services, Office of Community Choice Options guidance, an exam score of 80% or higher is required, along with successful completion of the State training modules, and field mentoring component. Preferred Qualifications: Candidates residing in Toms River, Brick, Whitesville, or Jackson, Case management and/or discharge planning experience, Managed Care experience, Crisis intervention skills. Education: Master's Degree in Social Work or Behavioral Health field required. Anticipated Weekly Hours: 40. Time Type: Full time. The Case Manager will also be expected to mentor new hires once proficiency is attained. 50 to 75% travel in Monmouth/Ocean and surrounding counties.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

Referrals increase your chances of interviewing at CVS Health by 2x

Sign in to set job alerts for “Clinical Case Manager” roles.

Clinical Case Manager Behavioral Health - Monmouth County

Monmouth County, NJ $72,627.00-$155,538.00 1 week ago

Clinical Case Manager Behavioral Health - Monmouth and Ocean Counties

Police Social Work Case Manager - Arrive Together

Youth Electronic Monitoring Case Manager

Neptune, NJ $90,000.00-$95,000.00 9 months ago

Clinical Coordinator - Palliative Care - Physician Practice

Ocean County, NJ $90,000.00-$95,000.00 9 months ago

Monmouth County, NJ $90,000.00-$95,000.00 9 months ago

Home Health Care RN -Case Manager / Field Nurse

Staff - Registered Nurse (RN) - Case Manager, Hospice - $37+ per hour

Trauma Performance Improvement Coordinator - F/T Days

Staff - Registered Nurse (RN) - Case Manager, Hospice - $37+ per hour

Clinical Supervisor RN- Neurosurgery Physician Practice

Registered Nurse, RN- Hospice Case Manager, Full Time

Registered Nurse, RN- Hospice Case Manager, Full Time

Supervisor, Case Management (LSW/LCSW or RN)

Care Coordinator, Care Management (LSW/LCSW or RN) - Per Diem

Care Coordinator - ED Care Manager - Evenings 1P-9P - Sunday & Monday - not benefit eligible

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.