Clinical Case Manager Behavioral Health

Title: Clinical Case Manager Behavioral Health - Work at Home

remote type Remote

time type Full time

Job Description:

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 - Behavioral Health (Licensed)

100% Remote | Anywhere in the U.S. | Monday-Friday Business Hours

No Weekends; No Holidays

Are you a licensed behavioral health clinician who thrives on helping members navigate complex mental health and substance use challenges? Join our team and use your clinical expertise to provide comprehensive case management, crisis intervention, and care coordination that improves outcomes and supports whole-person health.

What You'll Do

• Conduct comprehensive behavioral health assessments using clinical tools, data analysis, and benefit plan reviews
• Develop individualized care plans that address both behavioral and physical health needs
• Coordinate care with providers, community organizations, and support services
• Apply advanced clinical judgment to identify and mitigate risk factors impacting member outcomes
• Perform crisis intervention for members experiencing behavioral health or medical crises and ensure appropriate referrals and follow-up
• Utilize Motivational Interviewing techniques to engage members and promote sustainable behavior change
• Coordinate psychosocial wraparound services and connect members with community resources
• Support cost-effective care through proactive care planning and resource utilization

WHAT YOU BRING - REQUIRED

• Master's degree in Behavioral Health, Social Work, Counseling, Psychology, or a related field
• Active, unrestricted independent behavioral health license in your state of residence (e.g., LCSW, LISW, LMFT, LPC, LCPC, LPCC, LMHC, or equivalent)
• 3+ years of post-master's direct clinical experience in a hospital, ambulatory, outpatient, or similar clinical setting
• 3+ years of experience treating mental health and substance use disorders
• 3+ years of experience utilizing Motivational Interviewing techniques
• Case Management experience
• Ability to simultaneously talk on the phone and document in clinical systems
• Strong technical proficiency and comfort working in a virtual environment

Preferred Qualifications

• Crisis intervention experience
• Managed Care experience
• Utilization Review or Utilization Management experience
• Discharge Planning experience
• Experience working with complex behavioral health populations

Why Join Us?

• Fully remote position available anywhere in the United States
• Consistent Monday-Friday schedule
• No weekends or holidays
• Meaningful work supporting members with complex behavioral health needs
• Collaborative clinical environment with opportunities for professional growth
• Ability to make a measurable impact on member outcomes and quality of life

If you're a licensed behavioral health professional who is passionate about case management, crisis intervention, and helping members achieve better health outcomes, we'd love to hear from you. 

Anticipated Weekly Hours 40

Time Type Full time

Pay Range

The typical pay range for this role is:

$60,522.00 - $129,615.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.