Care Manager - Behavioral Health
HumanaSalary not specified
Clinical Behavioral Health Case Manager (Field – Must reside in McHenry County Illinois) at CVS Health
McHenry, Illinois, United States
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
- Active IL BH clinical license - LCSW, LCPC, LMFT
- Minimum of 2 years of experience in behavioral health or social services field
- Must reside in McHenry County IL or Surrounding Areas (Applicable Zip Codes: 60013, 60014, 60050, 60098, 60102, 60110, 60142, 60152, 60156, 60614)
- Willing and able to travel up to 50-75% of their time to meet with members face to face in Northside Chicago/loop and surrounding areas
- Reliable transportation required
- Master's degree in social services, human services or behavioral health required
Responsibilities
- Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment
- Effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues
- Determine medical necessity/appropriateness
- Facilitate optimal outcomes
- Identify and follow through with continuous quality/compliance opportunities
- Identify aberrances and initiate corrective action
- Educate/empower customers to ensure compliance, satisfaction and promote patient advocacy
- Optimize total costs
- Implement and evaluate policy based on usage and program directives
- Educate/empower colleagues at all levels to enable decision making at most appropriate level
Skills
Case Management
Behavioral Health
Social Services
LCSW
LCPC
LMFT
Medical Necessity Determination
Healthcare Management
Patient Advocacy
Quality Compliance
CVS Health
Comprehensive pharmacy and healthcare services
About CVS Health
CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.
Woonsocket, Rhode IslandHeadquarters
1963Year Founded
DEBTCompany Stage
Healthcare, Consumer GoodsIndustries
10,001+Employees
