Clinical Case Manager, Behavioral Health

CVS Health

. Conduct comprehensive assessments of referred members’ needs and eligibility .

Posted 10/7/2026full-timeRemote • Louisiana • United StatesMid-LevelSenior💰 $54,095 - $116,760 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in conducting comprehensive assessments, developing case-resolution strategies, and applying clinical judgment to address complex behavioral health needs. Proficient in crisis intervention, case management, and effective communication with multidisciplinary teams to ensure quality care.

Highest-signal resume keywords

Unencumbered Independent Behavioral Health Clinical LicenseCrisis Intervention SkillsCase Management Experience3+ Years Direct Clinical Practice ExperienceMS Office Suite Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Crisis InterventionCase ManagementBehavioral Health AssessmentUtilization ReviewData AnalysisMotivational InterviewingPlan DevelopmentQuality Management ProcessesClinical JudgmentDischarge Planning

Soft Skills

Effective CommunicationMultitaskingPrioritizationAdaptabilityCoaching

Tools & Technologies

MS Office SuiteSharePointMulti-System Navigation

Certifications & Qualifications

Unencumbered Independent Behavioral Health Clinical LicenseCertified Case Manager (ACM)

Industry Keywords

Child WelfareJuvenile JusticeManaged CarePediatricsHealthcare Decision-Making

About the role

Key responsibilities & impact

Conduct comprehensive assessments of referred members’ needs and eligibility
Develop case-resolution approaches using benefit plans and internal and external programs/services
Apply clinical judgment to reduce risk factors and address complex clinical indicators
Perform crisis intervention for members experiencing behavioral health or medical crises
Refer members to appropriate clinical providers and provide crisis follow-up
Apply clinical criteria, guidelines, case management plans, policies, procedures, and regulatory standards
Consult with supervisors, Medical Directors, and other programs to overcome barriers
Present cases at conferences to obtain multidisciplinary input
Identify and escalate quality-of-care issues
Communicate with medical and behavioral health professionals to influence appropriate care
Use motivational interviewing to engage members and promote lifestyle or behavior changes
Provide coaching, information, and support for independent health decisions
Help members participate knowledgeably in healthcare decision-making
Analyze utilization, self-report, and clinical data to identify comprehensive member needs
Develop and monitor plans of care with members and care teams
Use case management and quality management processes in compliance with regulatory, accreditation, and company requirements
Conduct face-to-face visits and in-person outreach through required in-state travel

Requirements

What you’ll need

Must reside in Louisiana
Must have reliable transportation
Ability to travel in-state up to 50% of the time
Unencumbered Independent Behavioral Health Clinical license in Louisiana (e.g., LCSW, LPC, LMFT)
3+ years of direct clinical practice experience post master’s degree with general youth or pediatrics population in a hospital, ambulatory care, residential, or outpatient clinic/facility setting
2+ years of experience with personal computers, keyboards, multi-system navigation, and MS Office Suite applications (Outlook, Word, Excel, SharePoint, etc.)
Master’s degree required / specialized training / relevant professional qualification
Certified Case Manager (ACM) preferred
Crisis Intervention skills preferred
Child Welfare and/or Juvenile Justice experience preferred
Managed care/utilization review experience preferred
Case management and discharge planning experience preferred
Effective verbal and written communication skills
Ability to multitask, prioritize, and adapt to a fast-paced changing environment

Benefits

Comp & perks

Flexible work schedule may be available after 6 months of service with demonstrated performance and attendance
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 eligibility in addition to base pay