Clinical Case Manager – Licensed Behavioral Health Clinician

CVS Health

2d • $54,095 - $116,760 • Remote

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. Clinical Case Manager – Licensed Behavioral Health Clinician Location: Work at Home (USA) Schedule: Monday–Friday, 8-5 Your time Zone No weekends, no holidays Position Summary Behavioral Health Case Manager, you will utilize your clinical expertise to help guide members through complex health journeys and ensure they receive the care and support they need. In this role, you’ll leverage advanced clinical judgment and critical thinking to assess member needs, develop care plans, coordinate with providers, and connect individuals to psychosocial wraparound services. Your work will promote effective resource utilization and drive optimal, cost-effective health outcomes.

Requirements

• 3+ years of post-master’s clinical experience in hospital, outpatient, or ambulatory settings
• 3+ years of experience in behavioral health and substance use disorder care
• Strong communication skills with the ability to manage crisis calls and multitask (talk and type simultaneously)
• Proficiency in motivational interviewing and technology platforms
• Master’s degree in Behavioral/Mental Health or related field (e.g., Social Work, Counseling, Psychology)
• Active, unrestricted independent clinical license in your state: LCSW, LISW, LCPC, LP, LMFT, LMHC

Nice To Haves

• Crisis intervention experience
• Background in managed care or utilization review
• Experience in case management and discharge planning

Responsibilities

• Member Assessment & Crisis Support Conduct comprehensive assessments using clinical tools and data to determine member needs and eligibility telephonically.
• Evaluate benefit plans and available resources to guide care planning.
• Apply clinical strategies to reduce risk factors and address complex health indicators.
• Provide crisis intervention and follow-up to ensure members receive appropriate behavioral and medical care.
• Care Coordination & Quality Improvement Collaborate with providers and internal teams to develop and monitor personalized care plans.
• Use motivational interviewing to engage members in their health journey and promote lifestyle changes.
• Identify and escalate quality-of-care concerns through established channels.
• Ensure compliance with regulatory and accreditation standards.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level