Clinical Case Manager Behavioral Health (Bilingual-Spanish Speaking)

About the position

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary Bilingual Spanish Speaking Fully remote role USA. Standard business hours Monday-Friday. No nights and no weekends. 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, and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. * Telephonic clinical case management with Medicare population. * Uses Motivational Interviewing and engagement interventions to optimize member participation in case management programs. * Completes a Comprehensive Assessment and Plan of care. * Will document in clinical systems to support legacy Aetna and Coventry membership. * Provides BH consultation and collaboration with Aetna partners. * Active participation in clinical treatment rounds. * Active participation in team activities focused on program development. Innovative thinking expected. * The majority of time is spent at a desk on telephonic member outreaches and computer documentation. * Assist members with locating community based behavioral health resources.

Responsibilities

• Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning.
• Conduct telephonic clinical case management with Medicare population.
• Use Motivational Interviewing and engagement interventions to optimize member participation in case management programs.
• Complete a Comprehensive Assessment and Plan of care.
• Document in clinical systems to support legacy Aetna and Coventry membership.
• Provide BH consultation and collaboration with Aetna partners.
• Participate actively in clinical treatment rounds.
• Engage in team activities focused on program development and innovative thinking.
• Assist members with locating community based behavioral health resources.

Requirements

• 3+ years of direct clinical practice experience
• A Valid unrestricted independent professional behavioral health clinical license to practice per state regulations in the state they reside in (e.g., LPC, LMFT, LCSW, LMHC, LCMHC, LICSW, LISW, Clinical Psychologist)
• Required to use a residential broadband service with internet speeds of at least 25 mbps/3mbps
• Bilingual Spanish and English, must be able to pass language assessment to become certified to speak and write in Spanish.

Nice-to-haves

• Crisis intervention skills preferred
• Managed care/utilization review experience preferred
• Case management and discharge planning experience preferred

Benefits

• Full range of medical, dental, and vision benefits
• 401(k) retirement savings plan
• Employee Stock Purchase Plan
• Fully-paid term life insurance plan
• Short-term and long term disability benefits
• Numerous well-being programs
• Education assistance
• Free development courses
• CVS store discount
• Discount programs with participating partners
• Paid Time Off (PTO) or vacation pay
• Paid holidays throughout the calendar year