Clinical Case Manager Behavioral Health - Field in Bergen & Surrounding Counties, NJ

CVS Health•Fort Lee, NJ

8d•Hybrid

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. Behavioral Health Clinical Case Manager – Field in Bergen and surrounding Counties, NJ Location: Bergen and surrounding Counties, NJ Travel: Approximately 75% The Clinical Case Manager conducts comprehensive in‑person assessments and develops individualized care plans for members in MLTSS and D‑SNP programs. This role coordinates physical, behavioral, and social services across providers and community resources, ensuring members receive appropriate, high‑quality, and cost‑effective care. The Case Manager authorizes services, documents care activities, participates in interdisciplinary meetings, and supports team development. With flexible teleworking and meaningful community engagement, the position offers the opportunity to build trusted relationships, advocate for vulnerable populations, and apply strong clinical judgment while pursuing ongoing professional growth, including NJ Choice Certification. As a Clinical Case Manager, you will: Conduct comprehensive, face-to-face assessments for members enrolled in MLTSS and D-SNP programs Develop and implement personalized care plans that address physical, behavioral, and psychosocial needs Collaborate closely with members, families, providers, and interdisciplinary teams to coordinate care Evaluate and facilitate services such as: Adult and pediatric medical daycare Personal care assistance Nursing facility support Community-based and long-term services Advocate for members to ensure access to appropriate and high-quality care Authorize services and ensure efficient, cost-effective resource utilization Document care activities accurately in the electronic health record Participate in interdisciplinary meetings and help drive positive outcomes Support and mentor new team members as you grow in your role What Makes This Role Special Flexible telework with meaningful in-person community engagement Opportunity to build lasting relationships with members and providers Be a trusted advocate for vulnerable populations Continuous development, including NJ Choice Certification support A role where your clinical judgment and critical thinking truly matter

Requirements

Licensed Clinical Social Worker (LCSW), or Licensed Social Worker (LSW).
2+ years of Behavioral Health experience/expertise required.
Must possess reliable transportation and be willing and able to travel up to 75% of the time.
Mileage is reimbursed per our company expense reimbursement policy.
Successful completion of the NJ Choice certification is a contingency of employment.
As per NJ Division of Aging Services, Office of Community Choice Options guidance, an exam score of 80% or higher is required, along with successful completion of the State training modules, and field mentoring component.

Nice To Haves

Experience in case management or discharge planning
Managed care experience
Strong crisis intervention skills

Responsibilities

Conduct comprehensive, face-to-face assessments for members enrolled in MLTSS and D-SNP programs
Develop and implement personalized care plans that address physical, behavioral, and psychosocial needs
Collaborate closely with members, families, providers, and interdisciplinary teams to coordinate care
Evaluate and facilitate services such as: Adult and pediatric medical daycare, Personal care assistance, Nursing facility support, Community-based and long-term services
Advocate for members to ensure access to appropriate and high-quality care
Authorize services and ensure efficient, cost-effective resource utilization
Document care activities accurately in the electronic health record
Participate in interdisciplinary meetings and help drive positive outcomes
Support and mentor new team members as you grow in your role