Licensed Behavioral Health Clinician Case Manager – Work at Home

CVS Health•Work At Home - Utah, UT

1d•$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. 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

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.
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.