Behavioral Health Case Manager

CVS Health

4d • $66,575 - $142,576

About The Position

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. Position Overview We are seeking an experienced and compassionate Behavioral Health Case Manager to join our Clinical Health Services team. In this role, you will conduct comprehensive assessments, coordinate care, support members during behavioral health or medical crises, and ensure members receive high‑quality, clinically appropriate services. You will apply advanced clinical knowledge, collaborate across multidisciplinary teams, and empower members to make informed decisions about their health.

Requirements

• Unencumbered Behavioral Health clinical license in the state of practice (e.g., LCSW, LCPC, LMFT, etc.).
• Master’s degree in Behavioral Health, Mental Health, or a related field.

Nice To Haves

• 3–5 years of post‑master’s direct clinical experience in a hospital, outpatient clinic, or alternative care setting.
• Case management or discharge planning experience.
• Experience in managed care or utilization review.
• Crisis intervention training and experience.
• The ideal candidate is a clinically skilled professional who can think critically, remain calm in crisis situations, and work collaboratively across teams. They thrive in a member‑focused environment, excel at motivational interviewing, and are committed to promoting high‑quality, person-centered care.

Responsibilities

• Member Assessment & Crisis Support Conduct detailed clinical assessments to determine member needs, eligibility, and appropriate care pathways.
• Evaluate benefit plans and identify applicable internal and external resources.
• Use clinical judgment to identify risk factors and address complex behavioral or medical indicators.
• Provide crisis intervention and ensure members receive timely clinical assessments and appropriate treatment.
• Perform follow-up outreach to ensure ongoing engagement in recommended services.
• Care Coordination & Quality Enhancement Apply and interpret clinical guidelines, criteria, and policies to ensure appropriate care and benefits administration.
• Collaborate with Medical Directors, supervisors, and multidisciplinary teams to address barriers and enhance outcomes.
• Identify and escalate potential quality-of-care issues.
• Communicate effectively with medical and behavioral health providers to influence evidence‑based care decisions.
• Use motivational interviewing and coaching techniques to encourage healthy lifestyle changes and member engagement.
• Review utilization, self-reported, and clinical data to identify and address comprehensive member needs.
• Monitoring, Documentation & Care Planning Partner with members and care teams to develop personalized care plans aligned with member goals.
• Monitor progress and adjust plans as needed to support successful outcomes.
• Maintain thorough, accurate documentation in accordance with organizational, regulatory, and accreditation standards.
• Adhere to case management and quality management processes to ensure consistent and compliant service delivery.

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees