Clinical Case Manager Behavioral Health - Work at Home

CVS Health-posted 2 months ago
$60,522 - $129,615/Yr
Full-time
Toledo, OH
5,001-10,000 employees
Ambulatory Health Care Services
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At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary: Fully remote in the USA. Shift Monday-Friday standard business hours. No weekends and no holidays. 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.

  • Conduct comprehensive assessments of referred member's needs/eligibility and determine approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services.
  • Apply clinical judgment to the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution of member issues.
  • Perform crisis intervention with members experiencing a behavioral health or medical crisis and refer them to the appropriate clinical providers for thorough assessment and treatment.
  • Provide crisis follow up to members to help ensure they are receiving the appropriate treatment/services.
  • 3 years of direct clinical practice experience post master's degree, e.g., hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility.
  • 3 years of knowledge of mental health and substance abuse disorders.
  • 3 years experience talking on the telephone and typing at the same time.
  • 3 years Experience using Motivational Interviewing and good technological skills.
  • Valid unrestricted independent professional behavioral health clinical license to practice per state regulations in the state they reside in.
  • Crisis intervention skills preferred.
  • Managed care/utilization review experience preferred.
  • Case management and discharge planning experience preferred.
  • 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.
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