Clinical Case Manager Behavioral Health, CVS Health

CVS Health

Location:
United States, Chicago

Category:
Nursing

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, a field-based position requiring 50-75% travel to meet with members face to face in Cook County IL and surrounding areas. This position holds a 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
Enhance medical appropriateness and quality of care
Utilize negotiation skills to secure appropriate options and services
Provide coaching, information and support to empower members
Help members actively participate with their provider in healthcare decision-making
Utilize case management and quality management processes

Requirements:

Active and good standing Illinois BH clinical license – specifically LCSW, LCPC, or LMFT
Must reside in Cook County IL or Surrounding Areas (Applicable zip codes: 60402, 60455 60632, 60638, 60609, 60636, 60629, 60804)
Willing and able to travel up to 50%-75% of their time to meet with members face to face
Reliable Transportation required
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
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:
September 29, 2025

Expiration:
October 10, 2025

Employment Type:

Fulltime

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Clinical Case Manager Behavioral Health