Clinical Case Manager – Behavioral Health SNP

CVS Health

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

Posted 10/28/2026full-timeRemote • Tennessee • 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 approaches, and applying clinical judgment to address complex behavioral health needs. Proficient in utilizing Motivational Interviewing techniques and managing care in compliance with regulatory standards.

Highest-signal resume keywords

Clinical Practice ExperienceMotivational InterviewingBehavioral Health Clinical LicenseCase Management PlansCrisis Intervention

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Comprehensive AssessmentsCrisis InterventionClinical JudgmentUtilization AnalysisPlans of Care DevelopmentDocumentation ManagementBehavioral Health KnowledgePsychosocial Services CoordinationRisk Factor AssessmentQuality-of-Care Issue Identification

Soft Skills

CommunicationCoachingMember EngagementCollaborationProblem-Solving

Certifications & Qualifications

LCSWLSWLISWLCPCLPLMFTLMHC

Industry Keywords

Mental Health DisordersSubstance Abuse DisordersCrisis Follow-UpRegulatory StandardsAccreditation RequirementsMultidisciplinary ReviewHealthcare Decisions SupportBehavioral Health ProfessionalsCare Barriers ConsultationSelf-Report Data Analysis

About the role

Key responsibilities & impact

Conduct comprehensive assessments of referred members' needs and eligibility
Develop case-resolution approaches and coordinate psychosocial wraparound services
Apply clinical judgment to address risk factors and 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 care barriers
Present cases at case conferences for multidisciplinary review
Identify and escalate quality-of-care issues
Influence appropriate member care through communication with medical and behavioral health professionals
Use motivational interviewing to promote member engagement and lifestyle or behavior changes
Provide coaching, information and support for independent healthcare decisions
Analyze utilization, self-report and clinical data to identify comprehensive member needs
Develop and monitor plans of care with members and care teams
Document and manage care in compliance with regulatory, accreditation and company requirements

Requirements

What you’ll need

3+ years of direct clinical practice experience post master's degree, such as in a hospital, ambulatory care or outpatient clinic/facility
3+ years of knowledge of mental health and substance abuse disorders
3+ years of experience talking, speaking on the telephone and typing at the same time
3+ years of experience using Motivational Interviewing and good technological skills
Valid unrestricted independent professional behavioral health clinical license to practice per state regulations in the state of residence; examples include LCSW, LSW, LISW, LCPC, LP, LMFT or LMHC
Master's Degree in Social Work or Counseling required
Ability to work Monday-Friday, 8:00am-5:00pm EST

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 in addition to base pay