Clinical Case Manager – Licensed Behavioral Health Clinician

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. Clinical Case Manager – Licensed Behavioral Health Clinician Location: Work at Home (USA) Schedule: Monday–Friday, 8-5 Your time Zone No weekends, no holidays Position Summary Behavioral Health Case Manager , you will utilize your clinical expertise to help guide members through complex health journeys and ensure they receive the care and support they need. In this role, you’ll leverage advanced clinical judgment and critical thinking to assess member needs, develop care plans, coordinate with providers, and connect individuals to psychosocial wraparound services. Your work will promote effective resource utilization and drive optimal, cost-effective health outcomes. Key Responsibilities Member Assessment & Crisis Support Conduct comprehensive assessments using clinical tools and data to determine member needs and eligibility telephonically. Evaluate benefit plans and available resources to guide care planning. Apply clinical strategies to reduce risk factors and address complex health indicators. Provide crisis intervention and follow-up to ensure members receive appropriate behavioral and medical care. Care Coordination & Quality Improvement Collaborate with providers and internal teams to develop and monitor personalized care plans. Use motivational interviewing to engage members in their health journey and promote lifestyle changes. Identify and escalate quality-of-care concerns through established channels. Ensure compliance with regulatory and accreditation standards. Required Qualifications 3+ years of post-master’s clinical...