Clinical Case Manager Behavioral Health – Field
| Company | CVS Health |
|---|---|
| Location | Barrington, IL, USA, Hoffman Estates, IL, USA, Palatine, IL, USA, Elk Grove Village, IL, USA, Bloomingdale, IL, USA, Bartlett, IL, USA |
| Salary | $66575 – $142576 |
| Type | Full-Time |
| Degrees | |
| Experience Level | Junior, Mid Level |
Requirements
- Active Illinois BH clinical license – specifically LCSW, LCPC, or LMFT
- Must reside in Will, Kane or DuPage County IL or Surrounding Areas, preferably Schaumburg, Hoffman Estates, Palatine, Inverness, Rolling Meadows, Elk Grove Village, Roselle, Hanover Park, or Streamwood
- Willing and able to travel up to 50%-75% of their time to meet with members face to face in Will, Kane and DuPage County IL, and surrounding areas
- Reliable Transportation required, eligible for mileage reimbursement as per company policy
- Minimum 2 years of experience in behavioral health, social services or human services field
- Minimum 2 years of case management experience
Responsibilities
- Facilitate appropriate healthcare outcomes for waiver/LTSS members by providing care coordination, support and education for members through the use of care management tools and resources
- Conduct comprehensive evaluation of referred members’ needs/eligibility and recommend an approach to case resolution and/or meeting needs by evaluating members’ benefit plan and available internal aid and external programs/services
- Identify high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate
- Coordinate and implement assigned care plan activities and monitor care plan progress
- Consult with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; present cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes
- Identify and escalate quality of care issues through established channels
- Utilize negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs
- 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
- Help member actively and knowledgeably participate with their provider in healthcare decision-making
- Utilize case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures
Preferred Qualifications
- Discharge planning experience preferred
- Managed Care experience preferred
- Microsoft Office experience preferred