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.Position SummaryMust reside in the state of Illinois.
Standard business hours Monday - Friday with flexibility needed to meet member needs.This is a field-based position requiring 25-50% travel typically within a 45 mile radius from the candidates residence in order to conduct face to face visits which includes but is not limited to: hospital setting, outpatient clinic, PCP office, or member's residence.The Clinical Care Manager - BH is responsible for care coordination and case management for members, up to age 20, who have experienced a behavioral health crisis event.The Clinical Case Manager - BH:
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Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member 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.Assessment of Members:
Using 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.
• Using advanced clinical skills, performs crisis intervention with members experiencing 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.Collaboration:
Works closely with the family/member identified formal/informal supports involved in the member's care
Routinely communicates with the network provider responsible to screening and follow up after a mobile crisis response event
Partners with Utilization Management to ensure timely and safe discharge to the next level of careMonitoring, Evaluation and Documentation of Care:
• In collaboration with the member and/or guardian and their care team, develops and monitors established plans of care to meet the member's goals
• Must be able to multitaskRequired Qualifications
-Master's prepared behavioral health clinician with unrestricted behavioral health license in the state of Illinois (LCPC, LCSW, LMFT)
-Must be willing and able to travel 25-50% within a 45 mile radius from the candidates residence. Reliable transportation required. Mileage is reimbursed per our company expense reimbursement policy
-3+ years 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 of direct clinical experience working with children and adolescents in settings such as community based organization, residential facility, inpatient setting, group home, mental health clinic, outpatient/residential treatment facility for the management of substance use disorder
- 2+ years' experience using personal computer, keyboard navigation, navigating multiple systems and applications; and using MS Office Suite applications (Teams, Outlook, Word, Excel, etc.)Preferred Qualifications
- Crisis intervention Skills preferred
- Managed care experience preferred
- Motivational Interviewing Skills preferredEducation
-Minimum of a Master's Degree in counseling, social work, or other related field. Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:$66,575.00 - $142,576.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
- 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.