Clinical Case Manager Behavioral Health
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. Work at Home Behavioral Health Case Manager (Licensed Clinician) Location: Fully Remote (USA) Schedule: Monday–Friday 8-5 Your Time Zone No nights, weekends, or holidays As a key member of our care coordination team, you’ll: Assess Member Needs: Conduct comprehensive evaluations using clinical tools and data to determine eligibility, care needs, and appropriate interventions. Coordinate Care: Collaborate with providers and internal teams to develop personalized care plans, ensuring members receive timely and effective physical and behavioral health services. Support in Crisis: Use advanced clinical skills to intervene during behavioral health or medical crises, providing follow-up and ensuring continuity of care. Promote Health & Engagement: Empower members through coaching and motivational interviewing to make informed decisions and adopt healthier lifestyles. Ensure Quality & Compliance: Apply clinical guidelines and regulatory standards to deliver high-quality, cost-effective care while identifying and escalating quality-of-care concerns.
Requirements
- Master’s degree in Behavioral/Mental Health or related field
- Active, unencumbered independent clinical license in your state (e.g., LMHC, LCSW, LISW, LMFT, LPC)
- 3+ years of post-master’s clinical experience in hospital, outpatient, or ambulatory settings
- 3+ years of behavioral health experience
- Ability to manage crisis calls with professionalism and empathy
Nice To Haves
- Experience in managed care, utilization review, or case/discharge planning
- Strong communication skills with the ability to influence care decisions across multidisciplinary teams
- Engagement and Motivational interviewing skills
Responsibilities
- Assess Member Needs: Conduct comprehensive evaluations using clinical tools and data to determine eligibility, care needs, and appropriate interventions.
- Coordinate Care: Collaborate with providers and internal teams to develop personalized care plans, ensuring members receive timely and effective physical and behavioral health services.
- Support in Crisis: Use advanced clinical skills to intervene during behavioral health or medical crises, providing follow-up and ensuring continuity of care.
- Promote Health & Engagement: Empower members through coaching and motivational interviewing to make informed decisions and adopt healthier lifestyles.
- Ensure Quality & Compliance: Apply clinical guidelines and regulatory standards to deliver high-quality, cost-effective care while identifying and escalating quality-of-care concerns.
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.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
5,001-10,000 employees
