About The Position

CVS Health is building a world of health around every individual, shaping a more connected, convenient, and compassionate health experience. Colleagues are passionate, innovative, accountable, and prioritize safety and quality. The company aims to simplify health care one person, one family, and one community at a time. This Clinical Case Manager Behavioral Health role is a Work at Home position, available anywhere in the USA, with a Monday-Friday standard business hours shift, and no weekends or holidays. The role requires a Master's Degree and an Independent Behavioral Health License, along with 3 or more years of clinical experience in Behavioral Health. The clinician uses advanced clinical judgment and critical thinking to support members’ physical and behavioral health needs through comprehensive assessment, care planning, provider collaboration, and coordination of psychosocial services. They conduct in‑depth evaluations using clinical tools and plan benefits, develop strategies to reduce risk factors, manage complex clinical indicators, and perform crisis interventions, ensuring members are connected to appropriate treatment and receive timely follow‑up.

Requirements

  • 3 years of post‑master’s direct clinical experience in settings such as hospitals, ambulatory care, or outpatient facilities
  • 3 years of experience with mental health and substance use disorders
  • Ability to type and talk simultaneously for at least 3 years
  • 3 years of experience using Motivational Interviewing and strong technological skills
  • An active, unrestricted independent behavioral health license (e.g., LCSW, LISW, LMSW, LCPC, LP, LMFT, LMHC, or equivalent) based on state regulations
  • Master's Degree in Social Work or Counseling required

Nice To Haves

  • Crisis intervention skills
  • Managed care/utilization review experience
  • Case management and discharge planning experience

Responsibilities

  • Support members’ physical and behavioral health needs through comprehensive assessment, care planning, provider collaboration, and coordination of psychosocial services
  • Conduct in‑depth evaluations using clinical tools and plan benefits
  • Develop strategies to reduce risk factors
  • Manage complex clinical indicators
  • Perform crisis interventions
  • Ensure members are connected to appropriate treatment and receive timely follow‑up

Benefits

  • Comprehensive and competitive mix of pay and benefits
  • Medical coverage
  • Dental coverage
  • Vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
  • Other resources, based on eligibility
  • CVS Health bonus, commission or short-term incentive program
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