Case Manager Behavioral Health

Case Manager – Behavioral Health CVS Health is seeking a Case Manager Behavioral Health to support patients with mental health and substance use needs across the care continuum. In this role, you will complete psychosocial assessments, develop person-centered care plans, coordinate services, and advocate for timely, evidence-based treatment. You will collaborate closely with providers, community resources, and internal teams to reduce barriers to care and avoid unnecessary hospitalizations. Working within CVS Health’s inclusive, purpose-driven culture, you will use data, motivational interviewing, and strong communication skills to improve outcomes and support members on their path to better health. Responsibilities Conduct comprehensive behavioral health and psychosocial assessments for individuals with mental health and substance use conditions. Develop and maintain individualized, person-centered care plans aligned with clinical guidelines and member goals. Coordinate behavioral health, medical, and social services across providers, facilities, and community resources. Monitor progress, adjust care plans, and perform outreach to support adherence, engagement, and recovery. Perform utilization review/management activities in line with health plan policies and evidence-based criteria. Identify and address social determinants of health impacting access, safety, and stability. Document all interactions and care plans accurately in electronic health records and care management systems. Collaborate with psychiatrists, therapists, primary care, and internal CVS Health teams to ensure integrated, high-quality care. Provide education, advocacy, and crisis support, escalating safety risks per established protocols. Contribute to quality improvement, population health initiatives, and performance goals within the behavioral health program. Qualifications and Skills Behavioral health case management Psychosocial assessment Care coordination Utilization review/management Crisis intervention Motivational interviewing Knowledge of behavioral health diagnoses and treatments Treatment planning Electronic health records (EHR) documentation Interdisciplinary care collaboration Active, unrestricted clinical license preferred (LCSW, LMHC, LPC, LMFT, RN or equivalent, depending on state) Certification in Case Management (CCM or ACM) preferred Crisis intervention or de-escalation training a plus Experience with managed care or health plan environments preferred Familiarity with HIPAA and behavioral health regulations Benefits Medical Insurance Dental Insurance Vision Insurance Life Insurance 401(k) #J-18808-Ljbffr