Behavioral Health Case Manager

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Overview We are seeking an experienced and compassionate Behavioral Health Case Manager to join our Clinical Health Services team. In this role, you will conduct comprehensive assessments, coordinate care, support members during behavioral health or medical crises, and ensure members receive high‑quality, clinically appropriate services. You will apply advanced clinical knowledge, collaborate across multidisciplinary teams, and empower members to make informed decisions about their health. Key Responsibilities Member Assessment & Crisis Support Conduct detailed clinical assessments to determine member needs, eligibility, and appropriate care pathways. Evaluate benefit plans and identify applicable internal and external resources. Use clinical judgment to identify risk factors and address complex behavioral or medical indicators. Provide crisis intervention and ensure members receive timely clinical assessments and appropriate treatment. Perform follow-up outreach to ensure ongoing engagement in recommended services. Care Coordination & Quality Enhancement Apply and interpret clinical guidelines, criteria, and policies to ensure appropriate care and benefits administration. Collaborate with Medical Directors, supervisors, and multidisciplinary teams to address barriers and enhance outcomes. Identify and escalate potential quality-of-care issues. Communicate effectively with medical and behavioral health providers to influence evidence‑based care decisions. Use motivational interviewing and coaching techniques to encourage h...