# Clinical Case Manager

**Company**: CVS Health
**Location**: Work from home, TN
**Work arrangement**: remote
**Experience**: senior
**Job type**: full-time
**Salary**: $54,095.00 - $116,760.00
**Category**: Healthcare
**Industry**: Healthcare

**Apply**: https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/TN---Work-from-home/Clinical-Case-Manager-Behavioral-Health-SNP_R1076499?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_f969eca3-9c0

## Description

We're building a world of health around every individual , shaping a more connected, convenient, and compassionate health experience.

**Job Summary:** This is a fully remote role in the USA, working Monday to Friday from 8:00 AM to 5:00 PM EST, with no weekends or holidays.

As a Clinical Case Manager, you will 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.

**Key Responsibilities:**

- Conduct comprehensive assessments of referred members' needs and eligibility, determining approaches to case resolution and/or meeting needs by evaluating members' benefit plans and available internal and external programs/services.

- Apply clinical judgment to incorporate strategies designed to reduce risk factors and address complex clinical indicators impacting care planning and resolution of member issues.

- Perform crisis intervention with members experiencing behavioral health or medical crises and refer them to appropriate clinical providers for thorough assessment and treatment.

- Collaborate with supervisors, Medical Directors, and other programs to overcome barriers to meeting goals and objectives.

- Identify and escalate quality of care issues through established channels.

- Utilize influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.

**Requirements:**

- 3+ years of direct clinical practice experience post-master's degree.

- 3+ years of knowledge of mental health and substance abuse disorders.

- 3+ years of experience with multitasking (talking, speaking on the telephone, and typing at the same time).

- Valid, unrestricted independent professional behavioral health clinical license (e.g., LCSW, LSW, LISW, LCPC, LP, LMFT, LMHC).

- Master's degree in Social Work or Counseling required.

**Preferred Qualifications:**

- Crisis intervention skills.

- Managed care/utilization review experience.

- Case management and discharge planning experience.

**What We Offer:**

- Competitive salary range: $54,095.00 - $116,760.00 per year.

- Comprehensive benefits package, including medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources.

## Skills

### Required
- clinical case management
- mental health
- substance abuse disorders
- crisis intervention
- motivational interviewing

### Nice to have
- managed care
- utilization review
- case management
- discharge planning

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Source: [Apply at cvshealth.wd1.myworkdayjobs.com](https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/TN---Work-from-home/Clinical-Case-Manager-Behavioral-Health-SNP_R1076499?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)