Clinical Case Manager Behavioral Health - Field - Must reside in Central or West Side of Chicago Illinois - $5,000 New Hire Bonus

CVS Health • Chicago, IL

99d • $66,575 - $142,576

About The Position

This Clinical Case Manager Behavioral Health position is with Aetna's Long-Term Services and Supports (LTSS) team and is a field-based position out of central or west side of Chicago, Illinois. The requirements is for candidates to hold a Behavioral Health License (specifically LCSW, LCPC, or LMFT), and travel 50-75% of the time to meet with members face to face. This position holds a full caseload to manage waiver members. This position requires in person quarterly visits with members. This position is critical to meet contractual requirements. Facilitate appropriate healthcare outcomes for waiver/LTSS members by providing care coordination, support and education for members through the use of care management tools and resources.

Requirements

• Active Illinois BH clinical license - specifically LCSW, LCPC, or LMFT.
• Must reside in central or west side of Chicago, IL (Preferably in zip codes 60610, 60614, 60611, 60634, 60639).
• Willing and able to travel up to 50%-75% of their time to meet with members face to face.
• Reliable Transportation required, eligible for mileage reimbursement as per company policy.
• Must possess a valid IL driver's license.
• Minimum 2 years of experience in behavioral health, social services or human services field.
• Minimum 2 years of case management experience.

Nice To Haves

• Discharge planning experience preferred.
• Managed Care experience preferred.
• Microsoft Office experience preferred.
• Experience working with HIV and AIDS population.

Responsibilities

• Conduct comprehensive evaluation of referred members' needs/eligibility and recommend an approach to case resolution.
• Identify high risk factors and service needs that may impact member outcomes and care planning components.
• Coordinate and implement assigned care plan activities and monitor care plan progress.
• Consult with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals.
• Identify and escalate quality of care issues through established channels.
• Utilize negotiation skills to secure appropriate options and services necessary to meet the member's benefits.
• Utilize influencing/motivational interviewing skills to ensure maximum member engagement.
• Provide coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
• Help member actively and knowledgeably participate with their provider in healthcare decision-making.
• Utilize case management and quality management processes in compliance with regulatory and accreditation guidelines.

Benefits

• Affordable medical plan options.
• 401(k) plan (including matching company contributions).
• Employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs.
• Confidential counseling and financial coaching.
• Paid time off.
• Flexible work schedules.
• Family leave.
• Dependent care resources.
• Colleague assistance programs.
• Tuition assistance.
• Retiree medical access.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Ambulatory Health Care Services
• Education Level: Master's degree
• Number of Employees: 5,001-10,000 employees