Clinical Case Manager Behavioral Health – Field
Company | CVS Health |
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Location | South Plainfield, NJ, USA, Matawan, NJ, USA, West Windsor Township, NJ, USA, East Brunswick, NJ, USA, Cranbury, NJ, USA |
Salary | $72627 – $155538 |
Type | Full-Time |
Degrees | Bachelor’s |
Experience Level | Junior, 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.)