Behavioral Health Clinical Case Manager, CVS Health

CVS Health

Location:
United States, Wenonah, New Jersey

Category:
-

Contract Type:
Employment contract

Salary:

72627.00 - 155538.00 USD / Year

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Job Description:

Clinical Case Manager responsible for developing and implementing health service strategies that ensure high-quality, cost-effective care for members. This includes utilization management, quality improvement, network coordination, and clinical policy adherence.

Job Responsibility:

Conducting face-to-face assessments for members in the Managed Long-Term Services and Supports (MLTSS) and/or Dual Special Needs Program (D-SNP/FIDE)
Evaluating member needs and coordinating services such as adult/pediatric medical daycare, personal care assistance, nursing facility placement, and MLTSS enrollment
Collaborating with members, caregivers, providers, and interdisciplinary teams to develop and implement individualized care plans
Authorizing services within program guidelines and connecting members to community resources
Documenting all activities accurately and timely in the electronic health record
Applying advanced clinical judgment and critical thinking to resolve complex care issues
Mentoring new hires upon reaching proficiency in the role

Requirements:

Licensed Clinical Social Worker or Licensed Social Worker
2+ years Behavioral Health experience/expertise required
Strong Assessment, communication and documentation skills
Successful completion of NJ Choice Certification (80% or higher required for continued employment)
Ability to work independently in a telework environment during standard business hours
Must possess reliable transportation and be willing and able to travel up to 75% of the time

Nice to have:

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

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
Wellness screenings
Tobacco cessation and weight management programs
Confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access
Mileage reimbursement

Additional Information:

Job Posted:
August 27, 2025

Expiration:
August 31, 2025

Employment Type:

Fulltime

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Behavioral Health Clinical Case Manager