Clinical Case Manager – Behavioral Health

CVS Health

Clinical Case Manager utilizing clinical judgment and advanced skills to support member health. Collaborating with multidisciplinary teams to ensure effective care planning and crisis intervention.

Posted 5/20/2026full-timeRemote • Idaho, Illinois, Vermont • 🇺🇸 United StatesMid-LevelSenior💰 $66,575 - $142,576 per yearWebsite

About the role

Key responsibilities & impact

Utilizes 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 to promote effective utilization of available resources and optimal, cost-effective outcomes.
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.
Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution of member issues.
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.
Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promotes lifestyle/behavior changes to achieve optimum level of health.

Requirements

What you’ll need

Masters prepared behavioral health clinician with unrestricted Independent Behavioral Health licenses in the state where they work (LPC, LCSW, LISW, LMFT, LCMHC, PsyD)
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 experience with mental health and/or substance abuse disorders
2+ years of experience using Motivational Interviewing required
3+ years Microsoft Suite experience (eg. Word, Excel)
3+ years using documentation systems

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
other resources, based on eligibility

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

clinical judgmentcritical thinkingcomprehensive assessmentscrisis interventionmotivational interviewingcase resolutionbehavioral healthsubstance abuse disorderscare planningrisk factor reduction

Soft Skills

influencing skillsmotivational skillsmember engagementcommunication skillscollaborationproblem-solvingempathyorganizational skillsinterpersonal skillsleadership

Certifications

Independent Behavioral Health licensesLPCLCSWLISWLMFTLCMHCPsyD