Clinical Case Manager Behavioral Health

5 days ago


Downers Grove, Illinois, United States CVS Health Full time
Job Summary

CVS Health is seeking a Clinical Case Manager, Behavioral Health to drive and support care management and care coordination activities across the continuum of care. This role requires 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 wrap around services.

Key Responsibilities
  • Assess, plan, implement, coordinate, monitor, and evaluate care management and care coordination activities
  • Utilize advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare
  • Coordinate psychosocial wrap around services to promote effective utilization of available resources and optimal, cost-effective outcomes
  • Collaborate with healthcare providers to ensure seamless care coordination and communication
  • Develop and implement care plans that address the unique needs of each member
Requirements
  • 3+ years of direct clinical practice experience post masters degree
  • Current Active unrestricted licensure (LCSW, LMFT or LCPC) in the state of IL required
  • Bilingual required (any language)
  • Willing and able to travel up to 25% of their time anywhere in the state of IL
  • Reliable transportation required; mileage is reimbursed per our company expense reimbursement policy
  • 2+ years of experience working with computers (MS Outlook, Excel, PowerPoint, and Word) and must navigate multiple systems simultaneously
Preferred Qualifications
  • Managed care/utilization review experience
  • Case management and discharge planning experience
  • Experience providing care to Medicaid population
  • Bilingual preferred in Polish, Spanish or Gujarati
Education
  • Minimum of a Master's degree required
Pay Range

The typical pay range for this role is: $63,200.80 - $136,600.00

This 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.



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