Associate Manager, Clinical Health Services – RN, LCSW, LCPC

CVS Health

. Oversee the implementation of healthcare management services for the assigned functional area .

Posted 10/2/2026full-timeRemote • Illinois • United StatesJuniorMid-Level💰 $88,374 - $190,344 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare management services, regulatory compliance, and team leadership within physical and behavioral healthcare settings. Proficient in managing care plans, quality of care, and fostering cross-functional collaboration.

Highest-signal resume keywords

Active LCPC OR LCSW OR RN License3+ Years Experience in Managed Care1+ Year Management ExperienceCertified Case Manager (CCM)Bilingual - English and Spanish

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare ManagementCare-Plan DevelopmentQuality of Care MonitoringRegulatory ComplianceBest-Practice ImplementationChange ManagementTeam MentoringProblem ResolutionCritical Thinking

Soft Skills

TeamworkCollaborationCommunicationLeadership

Certifications & Qualifications

Certified Case Manager (CCM)

Industry Keywords

NCQAURACManaged CareHealthcare PoliciesAccreditation Standards

About the role

Key responsibilities & impact

Oversee the implementation of healthcare management services for the assigned functional area
Maintain policies and procedures in accordance with regulatory and accreditation standards, including NCQA and URAC
Implement and monitor best-practice approaches and innovations across the continuum of care
Act as a liaison with key business areas
Manage resources responsible for member identification, care-plan development, medical appropriateness, quality of care, and care monitoring and documentation
Handle an assigned caseload when required
Serve as a point of contact for customers and Account Teams, including customer meetings and new-customer implementation
Assess developmental needs and implement action plans supporting high-performing teams
Promote teamwork, cross-product integration, and continuum-of-care thinking
Lead change efforts and serve as a change agent
Collaborate with licensed staff overseeing clinical staff and licensed personnel activities
Mentor the team on practice standards, intervention quality, problem resolution, and critical thinking

Requirements

What you’ll need

Candidates must possess active and unrestricted LCPC OR LCSW OR RN in the state of Illinois
3 or more years of experience in a physical or behavioral healthcare setting
1 or more years management experience
3 or more years of experience in managed care
Knowledge of the regulations, standards, and policies which relate to medical management
Bachelor’s degree in health or human services or a related field required
Certified Case Manager (CCM) preferred
Bilingual - English and Spanish preferred
Master’s degree in a relevant field preferred

Benefits

Comp & perks

Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being
CVS Health bonus, commission or short-term incentive program