Medical Case Manager

2 weeks ago


Topeka, Kansas, United States CVS Health Full time
Job Title: Medical Case Manager

At CVS Health, we're committed to delivering enhanced human-centric healthcare for a rapidly changing world. As a Medical Case Manager, you'll play a vital role in transforming our culture and accelerating our ability to innovate and deliver solutions that make healthcare more personal, convenient, and affordable.

Key Responsibilities:
  • Utilize 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.
  • Telephonic clinical case management with Medicare population.
  • Complete a Comprehensive Assessment and Plan of care.
  • Document in clinical systems to support legacy Aetna and Coventry membership.
Requirements:
  • A Valid unrestricted independent professional behavioral health clinical license to practice per state regulations in the state you reside in/one or more or equivalent (ex: LPC, LMFT, LCSW, LMHC, LCMHC, LICSW, LISW, Clinical Psychologist).
  • Managed care/utilization review experience preferred.
  • Case management and discharge planning experience preferred.
  • Masters Degree in Social Work or Counseling required.
What We Offer:
  • A competitive hourly rate or annual full-time salary.
  • A CVS Health bonus, commission, or short-term incentive program.
  • A comprehensive benefits package, including medical, dental, and vision benefits.
  • A 401(k) retirement savings plan and Employee Stock Purchase Plan.
  • A fully-paid term life insurance plan and short-term and long-term disability benefits.
  • Well-being programs, education assistance, free development courses, and a CVS store discount.

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