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Clinical Case Manager Behavioral Health Field
| Company | CVS Health |
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| Location | Kankakee, IL, USA |
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| Salary | $66575 – $142576 |
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| Type | Full-Time |
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| Degrees | Master’s |
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| Experience Level | Mid Level, Senior |
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Requirements
- 3-5 years of direct clinical practice experience post masters degree, e.g., hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility
- Excellent analytical and problem-solving skills
- Effective communications, organizational, and interpersonal skills
- Ability to work independently
- Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications.
- Efficient and Effective computer skills including navigating multiple systems and keyboarding
- Must possess reliable transportation and be willing and able to travel up to 75% of the time.
Responsibilities
- Conduct comprehensive assessments of referred member’s needs/eligibility and determine approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services.
- Apply clinical judgment to the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution of member issues.
- Perform crisis intervention with members experiencing a behavioral health or medical crisis and refer them to the appropriate clinical providers for thorough assessment and treatment, as clinically indicated.
- Consult with supervisors, Medical Directors and/or other programs to overcome barriers to meeting goals and objectives; present cases at case conferences to obtain multidisciplinary view in order to achieve optimal outcomes.
- Identify and escalate quality of care issues through established channels.
- Utilize influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
- Provide coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
- Develop and monitor established plans of care to meet the member’s goals.
Preferred Qualifications
- Case management and discharge planning experience preferred
- Managed care/utilization review experience preferred
- Crisis intervention skills preferred
- Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually
