Licensed Behavioral Health Clinician Case Manager - Work at Home

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

• 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.
• 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 experience in hospital, outpatient, or ambulatory settings
• 3+ years of experience in behavioral health and substance use disorder care
• Strong communication skills with the ability to manage crisis calls and multitask (talk and type simultaneously)
• Proficiency in motivational interviewing and technology platforms

Preferred Qualifications

• Crisis intervention experience
• Background in managed care or utilization review
• Experience in case management and discharge planning

Education and Licensing

• Master's degree in Behavioral/Mental Health or related field (e.g., Social Work, Counseling, Psychology)
• Active, unrestricted independent clinical license in your state: LCSW, LISW, LCPC, LP, LMFT, LMHC

Why Join Us?

• 100% Remote: Work from your home - anywhere in the U.S.
• Work-Life Balance: No nights, weekends, or holidays
• Collaborative Culture: Partner with experienced clinicians and medical directors
• Purpose-Driven Work: Help members navigate complex health challenges

Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $54,095.00 - $116,760.00 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.

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.