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Clinical Case Manager Behavioral Health – Field

Clinical Case Manager Behavioral Health – Field

CompanyCVS Health
LocationSouth Plainfield, NJ, USA, Matawan, NJ, USA, West Windsor Township, NJ, USA, East Brunswick, NJ, USA, Cranbury, NJ, USA
Salary$72627 – $155538
TypeFull-Time
DegreesBachelor’s
Experience LevelJunior, Mid Level

Requirements

  • Must reside in Middlesex County
  • Must be Licensed Clinical Social Worker or Licensed Social Worker in NJ
  • 2+ years Behavioral Health Exp
  • 1+ years of proficiency with using computers and Microsoft Office.
  • Successful completion (score of 80% or higher) of the NJ Choice certification is a contingency of employment.
  • Must possess reliable transportation and be willing and able to travel up to 50-75% of the time. Mileage is reimbursed per our company expense reimbursement policy.

Responsibilities

  • Develop, implement, support, and promote health service strategies, tactics, policies, and programs that drive the delivery of quality healthcare to our members.
  • Conduct face to face visits using comprehensive assessments of members enrolled in Managed Long-Term Services and Supports program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE).
  • Coordinate and collaborate care with member/authorized representative, PCP, and any other care team participant.
  • Attend interdisciplinary meetings and advocate on members behalf.
  • Work with member and care team to develop care plan and will authorize services within the MLTSS/ FIDE benefit.
  • Coordinate and assist with community resources.
  • Document accurately and timely in the electronic health record.
  • Use critical thinking and be able to problem solve any issues related to assigned membership.
  • Mentor new hires, once a level of proficiency has been attained in their role.

Preferred Qualifications

  • Case management and/or discharge planning experience
  • Managed Care experience
  • Crisis intervention skills
  • LTSS experience
  • Proficiency using computers, keyboards and multi-system navigation, and MS Office Suite applications (Outlook, Word, Excel, SharePoint, Teams, etc.)