Clinical Case Manager Behavioral Health, CVS Health

CVS Health

Location:
United States, Chicago

Category:
Health and Beauty

Contract Type:
Employment contract

Salary:

66575.00 - 142576.00 USD / Year

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Job Description:

Clinical Case Manager Behavioral Health position with Aetna's Long-Term Services and Supports (LTSS) team. Field-based position requiring travel to meet with members face to face. Position holds full caseload to manage waiver members and requires in person quarterly visits with members to meet contractual requirements.

Job Responsibility:

Facilitate appropriate healthcare outcomes for waiver/LTSS members by providing care coordination, support and education
Conduct comprehensive evaluation of referred members' needs/eligibility
Identify high risk factors and service needs that may impact member outcomes
Coordinate and implement assigned care plan activities and monitors care plan progress
Consult with case managers, supervisors, Medical Directors to overcome barriers to meeting goals
Identify and escalate quality of care issues through established channels
Utilize negotiation skills to secure appropriate options and services
Provide coaching, information and support to empower the member
Help member actively and knowledgeably participate with their provider in healthcare decision-making

Requirements:

Active Illinois BH clinical license – specifically LCSW, LCPC, or LMFT
Must reside in central or west side of Chicago, IL (Preferably in zip codes 60610, 60614, 60611, 60634, 60639)
Willing and able to travel up to 50%-75% of their time to meet with members face to face
Reliable Transportation required
Must possess a valid IL driver's license
Minimum 2 years of experience in behavioral health, social services or human services field
Minimum 2 years of case management experience
Master's degree in social services, human services, or behavioral health required

Nice to have:

Discharge planning experience
Managed Care experience
Microsoft Office experience
Experience working with HIV and AIDS population

What we offer:

$5,000 New Hire Bonus
Mileage reimbursement
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

Additional Information:

Job Posted:
October 02, 2025

Expiration:
October 22, 2025

Employment Type:

Fulltime

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Clinical Case Manager Behavioral Health