Clinical Case Manager Behavioral Health - Field in Atlantic and Cape May Counties, NJ

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Must live in Atlantic or Cape May County New Jersey and Must possess reliable transportation and be willing and able to travel up to 75%of the time in Atlantic/Cape May County and surrounding counties. Mileage is reimbursed per our company expense reimbursement Position Summary The Case Manager for Managed Long-Term Services and Supports (MLTSS) plays a vital role in coordinating and delivering long-term care services to individuals with disabilities and older adults. MLTSS integrates the principles of managed care with Long-Term Services and Supports (LTSS), aiming to enhance care quality, promote independence, and manage Medicaid expenditures effectively.

• Conduct health assessments and develop individualized care plans.
• Coordinate services to support daily living activities such as bathing, dressing, and eating.
• Facilitate access to HCBS and promote member independence.
• Perform scheduled visits:
• Every 6 months for members in nursing homes.
• Every 3 months for members in assisted living facilities.
• Every 3 months for members in private or family homes.
• Collaborate with providers and families to ensure integrated and efficient care delivery.
• Support the goals of MLTSS, including improved health outcomes, enhanced member satisfaction, and cost-effective service delivery.

• Knowledge of managed care principles and LTSS.
• Strong interpersonal and communication skills.
• Ability to work independently and manage a caseload.
• Commitment to improving the lives of vulnerable populations through compassionate and coordinated care.

• Licensed Clinical Social Worker, or Licensed Social Worker in New Jersey.
• 2+ years Behavioral Health experience/expertise required.
• M ust possess reliable transportation and be willing and able to travel up to 75% of the time in Atlantic and Cape May Counties as well as the surrounding areas. Mileage and tolls are reimbursed per our company expense reimbursement
• Successful completion of the NJ Choice certification is a contingency of employment. As per NJ Division of Aging Services, Office of Community Choice Options guidance, an exam score of 80% or higher is required, along with successful completion of the State training modules, and field mentoring component.

• Case management and/or discharge planning experience preferred.
• Managed Care experience preferred
• Crisis intervention skills preferred

• Master's Degree.

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.