Clinical Case Manager Behavioral Health Field Southwest West Central Chicago
Clinical Case Manager Behavioral Health Field Southwest West Central Chicago
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$ 66575 - 142576
1 Vacancy
Job Description
At CVS Health were building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nations leading health solutions company we reach millions of Americans through our local presence digital channels and more than 300000 purposedriven 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.
This Clinical Case Manager Behavioral Health position is with Aetnas LongTerm Services and Supports (LTSS) team. The requirements is for candidates to hold an Illinois Registered Nursing License and travel 5075 of the time to meet with members face to face.
This is a fieldbased position out of Southwest West and Central Chicago with preference for those residing in the following zip codes: 0.
Position Summary
The Clinical Case Manager Behavioral Health is responsible for driving and supporting care management and care coordination activities across the continuum of care (assessing planning implementing coordinating monitoring and evaluating). The CCM BHutilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning direct provider coordination/collaboration and coordination of psychosocial wrap around services to promote effective utilization of available resources and optimal costeffective outcomes.
Position Responsibilities:
Responsible for face to face and/or telephonic assessment planningimplementingand coordinating care management activities with members to ensure that their medical and behavioral health needs are met and to enhance the members overall wellness.
Develops a proactive course of action to address issues presented and facilitate short and longterm outcomes as well as identify opportunities to enhance a members overall health through integration.
Through the use ofclinical tools and information/data review conducts comprehensive assessments of members needs and recommends an approach to case resolution by meeting needs in alignment with their benefit plan and available internal and external programs and services.
Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and address complex clinical and social indicators whichimpactcare planning and resolution of member issues.
Completes assessments thattake into accountinformation from various sources to address all conditions including comorbid and multiple diagnoses that impact functionality and the members restrictions/limitations.
Analyzesutilization selfreportand clinical data available toconsolidateinformation and begin toidentifycomprehensive member needs.
Applies and interprets applicable criteria and clinical guidelines standardized case management plans policies procedures and regulatory standards while assessing benefits and/or members needs to ensureappropriate administrationof benefits.
Serves as a single point of contact for members andassistsmembers to remediate immediate and acute gaps in care and access.
Usingholistic approachconsults with managers medical directors and/or other physical/behavioral health support staff and providers to overcome barriers to meeting goals andobjectives/
Presents cases at case conferences/rounds to obtain multidisciplinary viewin order toachieve optimal outcomes.
Works collaboratively with the members interdisciplinary care team.
Identifiesand escalates quality of care issues through established channels.
Ability to speak to medical and behavioral health professionals to influenceappropriate membercare.
Utilizes influencing/motivational interviewing skills to ensuremaximummemberengagement and discern their health status and health needs based on key questions andconversation.
Provides coachinginformationand support to empower thememberto make ongoing independent medical and/or healthy lifestyle choices.
Helpsmemberactively and knowledgablyparticipatewith their provider in healthcare decisionmaking.
In collaboration with the member and their care team develops andmonitorsestablished plans of care to meet the members goals.
Utilizes case management and quality management processes in compliance withregulatory and accreditation guidelines and company policies and procedures.
Facilitates clinical hand offs during transitions of care.
Required Qualifications
One of the following active Illinois clinical license is required LCSW LCPC LMFT
Minimum of 2 years of experience in behavioral health or social services field preferably working with individuals living with complex medical needs and disabilities.
Must reside in Southwest West or Central Chicago IL Area (Applicable Zip Codes: 0
Must possess reliable transportation and be willing and able to travel 5075 of the time to meet members face to face in Southwest West Central Chicago and surrounding areas. Mileage is reimbursed per our company expense reimbursement policy.
Preferred Qualifications
Case Management and Discharge Planning experience preferred
Managed Care experience preferred
Microsoft Office experience preferred
Education
Masters degree required with either degree being in behavioral health or human services preferred
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$66575.00 $142576.00This pay range represents the base hourly rate or base annual fulltime salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience education geography and other relevant factors. This position is eligible for a CVS Health bonus commission or shortterm incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers patients members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits investing in the physical emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages our great benefits include:
Affordable medical plan options a 401(k) plan (including matching company contributions) and an employee stock purchase plan.
Nocost 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.
Required Experience:
Manager
Employment Type
Full-Time
