[Hiring] Licensed Behavioral Health Clinician Case Manager @CVS Health

Role Description

Behavioral Health Case Manager, utilize your clinical expertise will help guide members through complex health journeys and ensure they receive the care and support they need. In this role, you’ll leverage advanced clinical judgment and critical thinking to assess member needs, develop care plans, coordinate with providers, and connect individuals to psychosocial wraparound services. Your work will promote effective resource utilization and drive optimal, cost-effective health outcomes.

Key Responsibilities

• Member Assessment & Crisis Support
  • Conduct comprehensive assessments using clinical tools and data to determine member needs and eligibility.
  • Evaluate benefit plans and available resources to guide care planning.
  • Apply clinical strategies to reduce risk factors and address complex health indicators.
  • Provide crisis intervention and follow-up to ensure members receive appropriate behavioral and medical care.
• Care Coordination & Quality Improvement
  • Collaborate with providers and internal teams to develop and monitor personalized care plans.
  • Use motivational interviewing to engage members in their health journey and promote lifestyle changes.
  • Identify and escalate quality-of-care concerns through established channels.
  • Ensure compliance with regulatory and accreditation standards.

Qualifications

• Master’s degree in Behavioral/Mental Health or related field (e.g., Social Work, Counseling, Psychology)
• Active, unrestricted independent clinical license in your state: LCSW, LISW, LCPC, LP, LMFT, LMHC
• 3+ years of post-master’s clinical experience in hospital, outpatient, or ambulatory settings
• 3+ years of experience in behavioral health and substance use disorder care
• Strong communication skills with the ability to manage crisis calls and multitask (talk and type simultaneously)
• Proficiency in motivational interviewing and technology platforms

Preferred Qualifications

• Crisis intervention experience
• Background in managed care or utilization review
• Experience in case management and discharge planning

Benefits

• 100% Remote: Work from your home - anywhere in the U.S.
• Work-Life Balance: No nights, weekends, or holidays
• Collaborative Culture: Partner with experienced clinicians and medical directors
• Purpose-Driven Work: Help members navigate complex health challenges
• Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families, including medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.