Field Case Manager - Behavioral Health (WV Travel)

CVS Health; Beryl (WV); Remote; USD 29,000 - 51,000; Full time

Job summary

CVS Health is seeking a field-based care management professional to evaluate members, determine eligibility, and coordinate care plans across central West Virginia. The role requires residency in WV and involves substantial travel, with a Monday–Friday schedule and no nights or weekends.

Responsibilities include identifying high-risk members, coordinating with clinicians, and ensuring care plans are implemented and documented in compliance with regulatory guidelines.

Qualifications

• Minimum 2 years of experience in behavioral health or related field.
• West Virginia residency in one of Braxton, Calhoun, Clay, Fayette, Gilmer, Kanawha, Nicholas, Roane, Webster-Regional counties.
• Willingness to travel 50%+ with mileage reimbursement.
• Proficiency with MS Office applications (Outlook, Word, Excel, SharePoint, Teams).

Responsibilities

• Evaluate referred members' needs and eligibility and recommend care resolution.
• Identify high-risk factors and coordinate with clinical teams for care planning.
• Coordinate and monitor care plan activities and progress.
• Ensure regulatory/compliance alignment in care management processes.

Skills

Care coordination

Travel readiness

MS Office

Education

Bachelor's degree in Behavioral Health

Master's degree in Behavioral Health (optional)

Tools

MS Office Suite

Job description

CVS Health is seeking a field-based care management professional to evaluate members, determine eligibility, and coordinate care plans across central West Virginia. The role requires residency in WV and involves substantial travel, with a Monday–Friday schedule and no nights or weekends.

Responsibilities include identifying high-risk members, coordinating with clinicians, and ensuring care plans are implemented and documented in compliance with regulatory guidelines.