[Hiring] Clinical Case Manager Behavioral Health @CVS Health

Role Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Bilingual Behavioral Health Case Manager (Licensed)

100% Remote | Anywhere in the U.S. | Monday–Friday Business Hours

No Nights • No Weekends • No Holidays • No On-Call

Are you a licensed behavioral health professional who is passionate about helping members improve their overall well-being? Join our team and use your clinical expertise to support Medicare members through comprehensive care management, behavioral health advocacy, and community resource coordination, all from the comfort of your home.

What You'll Do

• Provide telephonic case management for Medicare members with behavioral health needs
• Complete comprehensive assessments and develop individualized care plans
• Utilize Motivational Interviewing techniques to engage members and support positive health outcomes
• Coordinate care with providers, health plan partners, and community-based resources
• Assist members in accessing behavioral health, social, and community support services
• Provide behavioral health consultation and collaboration across internal teams
• Participate in clinical treatment rounds and interdisciplinary care discussions
• Contribute innovative ideas to support program development and continuous improvement
• Maintain accurate documentation within clinical systems

Qualifications

• Active, unrestricted behavioral health license in your state of residence (LCSW, LPC, LMFT, LPCC, LISW, LSW, or equivalent)
• Master's Degree in Social Work or Counseling
• 3+ years of recent direct clinical behavioral health experience
• Experience with crisis intervention and motivational interviewing
• Bilingual in Spanish and English – read, write, and speak fluently
• Strong assessment, care planning, and member engagement skills
• Ability to work independently in a telephonic, computer-based environment
• High-speed residential internet (minimum 25 Mbps download / 3 Mbps upload)

Requirements

• Crisis intervention experience
• Managed Care, Utilization Review, or Care Management experience
• Discharge Planning experience
• Prior Authorization, Concurrent Review, or Appeals experience
• Certified Case Manager (CCM) certification
• Experience working with DSNP or Medicare populations

Benefits

• Fully remote position available anywhere in the U.S.
• Predictable Monday–Friday schedule with no evenings, weekends, holidays, or on-call responsibilities
• Opportunity to make a meaningful impact on Medicare members' behavioral health outcomes
• Collaborative, supportive clinical team environment
• Meaningful work focused on whole-person care and community resource integration
• Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families
• Medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility