Clinical Case Manager Behavioral Health - Work at Home

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.Remote Behavioral Health Case Manager (Licensed Clinician)

Location: Fully Remote (USA)
Schedule: Monday-Friday 8-5 Your Time Zone
No nights, weekends, or holidaysAs a key member of our care coordination team, you'll:

• Assess Member Needs: Conduct comprehensive evaluations using clinical tools and data to determine eligibility, care needs, and appropriate interventions.
• Coordinate Care: Collaborate with providers and internal teams to develop personalized care plans, ensuring members receive timely and effective physical and behavioral health services.
• Support in Crisis: Use advanced clinical skills to intervene during behavioral health or medical crises, providing follow-up and ensuring continuity of care.
• Promote Health & Engagement: Empower members through coaching and motivational interviewing to make informed decisions and adopt healthier lifestyles.
• Ensure Quality & Compliance: Apply clinical guidelines and regulatory standards to deliver high-quality, cost-effective care while identifying and escalating quality-of-care concerns.

• Master's degree in Behavioral/Mental Health or related field
• Active, unencumbered independent clinical license in your state (e.g., LMHC, LCSW, LISW, LMFT, LPC)
• 3+ years of post-master's clinical experience in hospital, outpatient, or ambulatory settings
• 3+ years of behavioral health experience
• Ability to manage crisis calls with professionalism and empathy

• Experience in managed care, utilization review, or case/discharge planning
• Strong communication skills with the ability to influence care decisions across multidisciplinary teams

• 100% Remote: Work from home.
• Predictable Schedule: No nights, weekends, or holidays
• Collaborative Culture: Work alongside experienced clinicians and medical directors
• Purpose-Driven Work: Help members navigate complex health challenges and improve outcomes
• Professional Growth: Opportunities to expand your skills in case management and integrated care

• 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.