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CVS Health

Clinical Case Manager, Behavioral Health

CVS Health

. Conduct comprehensive, face-to-face assessments for members enrolled in MLTSS and D-SNP programs .

Posted 10/2/2026full-timeCresskill • New Jersey • United StatesJuniorMid-Level💰 $66,575 - $142,576 per yearWebsite

Core Competencies

Role fit
Core Competencies

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Demonstrates expertise in conducting comprehensive assessments and developing personalized care plans for members in MLTSS and D-SNP programs, while effectively collaborating with interdisciplinary teams to ensure high-quality care and resource utilization.

Highest-signal resume keywords
Licensed Clinical Social Worker (LCSW)Behavioral Health ExperienceCase ManagementCrisis Intervention SkillsNJ Choice Certification

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Care Plan DevelopmentAssessment ConductingResource UtilizationDocumentation in Electronic Health RecordCommunity Engagement
Soft Skills
CollaborationAdvocacyMentoring
Certifications & Qualifications
Licensed Social Worker (LSW)NJ Choice Certification
Industry Keywords
MLTSSD-SNPManaged CareCrisis InterventionInterdisciplinary Teams

About the role

Key responsibilities & impact
  • Conduct comprehensive, face-to-face assessments for members enrolled in MLTSS and D-SNP programs
  • Develop and implement personalized care plans addressing physical, behavioral, and psychosocial needs
  • Collaborate with members, families, providers, and interdisciplinary teams to coordinate care
  • Evaluate and facilitate adult and pediatric medical daycare, personal care assistance, nursing facility support, and community-based and long-term services
  • Advocate for members’ access to appropriate, high-quality care
  • Authorize services and ensure efficient, cost-effective resource utilization
  • Document care activities accurately in the electronic health record
  • Participate in interdisciplinary meetings and drive positive outcomes
  • Support and mentor new team members
  • Conduct meaningful in-person community engagement across Bergen and surrounding counties

Requirements

What you’ll need
  • Licensed Clinical Social Worker (LCSW), or Licensed Social Worker (LSW)
  • 2+ years of Behavioral Health experience/expertise required
  • Reliable transportation
  • Willing and able to travel up to 75% of the time
  • Successful completion of the NJ Choice certification as a contingency of employment
  • Exam score of 80% or higher for NJ Choice certification
  • Successful completion of State training modules and field mentoring component
  • Experience in case management or discharge planning preferred
  • Managed care experience preferred
  • Strong crisis intervention skills preferred
  • Master’s Degree
  • Independent license in NJ LSW or LCSW

Benefits

Comp & perks
  • Mileage is reimbursed per company expense reimbursement policy
  • Flexible telework
  • NJ Choice Certification support
  • Medical, dental, and vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
  • Other resources supporting physical, emotional, and financial well-being