Clinical Case Manager BH Field

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose : Bringing our heart to every moment of your health.

This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand with heart at its center our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

This is a telework position with 50% travel to meet members face to face. Must reside in or nearby the South East, Kansas area.

Counties from Coffey to Cherokee Counties.

Must be willing to travel up to 50%

Schedule Monday-Friday, 8am-5pm.

Develop, implement, support, and promote Health Services strategies, tactics, policies, and programs that drive the delivery of quality healthcare to establish competitive business advantage for Aetna Health Services strategies, policies, and programs are comprised of utilization management, quality management, network management and clinical coverage and policies.

Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.

Assessment of Members : Through the use of clinical tools and information / data review, conducts comprehensive assessments of referred member’s needs / eligibility and determines approach to case resolution and / or meeting needs by evaluating member’s benefit plan and available

internal and external programs / services. - Applies clinical judgment

Required Qualifications

• 3 years of direct clinical practice experience post masters degree, e.g., hospital setting or alternative care setting such as ambulatory care or outpatient clinic and / or facility
• Minimum 1 year of Case management experience required.
• Unencumbered Behavioral Health clinical KS state license required (Ex - LMSW, LSCSW, LMLP, LPC, LCPC, LMFT, LCMFT etc.)
• Willing and able to travel up to 50% of their time to meet members face to face throughout South east part of Kansas.
• Reliable transportation required; Mileage is reimbursed per our company expense reimbursement policy.
• Willing to work beyond core working hours of 8am -5pm Monday to Friday as need basis.

Preferred Qualifications :

• Discharge planning experience.
• Crisis intervention skills preferred
• Managed care experience preferred
• Hospital experience preferred
• Experience with youth and behavioral health.
• Experience working in youth residential physiatry treatment facilities.
• Bilingual in Spanish.

Education Minimum of a Master's degree in Behavioral / Mental Health, social services or human services required.

Pay Range

The typical pay range for this role is :

$60,522.80 - $129,600.00

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.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.

The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.

The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits.

CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.

As for time off, Company employees enjoy Paid Time Off ( PTO ) or vacation pay, as well as paid holidays throughout the calendar year.

Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.