Clinical Case Manager Behavioral Health

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.A Brief OverviewFully 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.

• Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services.
• Applies 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.
• Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate clinical providers for thorough assessment and treatment, as clinically indicated. Provides crisis follow up to members to help ensure they are receiving the appropriate treatment/services.

• 3years 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 Requires knowledge of mental health and substance abuse disorders
• 3 years' experience Must be able to talk on the telephone and type 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/ one or more or equivalent is required:
  LCSW Licensed Clinical Social Worker
  LISW Licensed Independent Social Worker
  LCPC Licensed Clinical Professional Counselor
  LP Licensed Psychologist
  LMFT Licensed Marriage and Family Therapist
  LMHC Licensed Mental Health Counselor

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

• Minimum of a Master's degree in Behavioral/Mental Health or related field (eg: Social Work, Counseling, Psychology)

• 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.