[Hiring] Clinical Case Manager @CVS Health

Role Description

Develop, implement, support, and promote Health Services strategies, tactics, policies, and programs that drive the delivery of quality healthcare to establish competitive business advantage for Aetna. Health Services strategies, policies, and programs are comprised of:

• Utilization management
• Quality management
• Network management
• Clinical coverage and policies

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
• Coordination of psychosocial wraparound services

Qualifications

• 3-5 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)
• Case management and discharge planning experience preferred
• Managed care/utilization review experience preferred
• Crisis intervention skills preferred
• Ability to travel within a designated geographic area for in-person case management activities as directed by Leadership and/or as business needs arise

Requirements

• Unencumbered Behavioral Health clinical license in the state where they work
• Minimum of a Master's degree in Behavioral/Mental Health or related field

Benefits

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources, based on eligibility