Clinical Case Manager Behavioral Health Specialist

3 weeks ago


Detroit, Michigan, United States CVS Health Full time

Job Summary:

CVS Health is seeking a skilled Clinical Case Manager Behavioral Health to join our team. As a Clinical Case Manager Behavioral Health, you will be responsible for conducting face-to-face visits with members enrolled in Managed Long-Term Services and Supports program (MLTSS) and/or Dual Special Needs Program (D-SNP/FIDE). You will also be responsible for coordinating and collaborating care with members, authorized representatives, primary care physicians, and other care team participants.

Key Responsibilities:

  • Conduct comprehensive assessments of members to evaluate their medical needs and develop care plans to facilitate their overall wellness.
  • Coordinate and collaborate care with members, authorized representatives, primary care physicians, and other care team participants.
  • Authorize services within the MLTSS/FIDE benefit and work with members and care teams to develop care plans.
  • Document accurately and timely in the electronic health record.
  • Use critical thinking and problem-solving skills to address issues related to assigned membership.

Requirements:

  • Licensed Clinical Social Worker or Licensed Social Worker in NJ.
  • 2+ years of Behavioral Health experience/expertise.
  • Willing and able to travel 50-75% of the time in Passaic County and surrounding counties.
  • Reliable transportation required; mileage is reimbursed per company expense reimbursement policy.
  • 1+ years of proficiency with using computers, keyboards, and multi-system navigation, and MS Office Suite applications (Outlook, Word, Excel, SharePoint, Teams, etc.).
  • Successful completion of the NJ Choice certification is a contingency of employment.

Preferred Qualifications:

  • Case management and/or discharge planning experience.
  • Managed Care experience.
  • Crisis intervention skills.

About CVS Health:

CVS Health is a leading healthcare company that puts its heart into caring for its colleagues and communities. We offer a range of benefits, including medical, dental, and vision benefits, 401(k) retirement savings plan, and employee stock purchase plan. We also provide a fully-paid term life insurance plan, short-term and long-term disability benefits, and numerous well-being programs. Our company culture is built on our Heart At Work Behaviors, which support our purpose of delivering enhanced human-centric healthcare for a rapidly changing world.



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