Clinical Behavioral Health Case Manager (Field – Must reside in McHenry County Illinois) at CVS Health

McHenry, Illinois, United States

CVS Health Logo
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

Key technologies and capabilities for this role

Case ManagementBehavioral HealthSocial ServicesLCSWLCPCLMFTMedical Necessity DeterminationHealthcare ManagementPatient AdvocacyQuality Compliance

Questions & Answers

Common questions about this position

What is the pay range for this Clinical Behavioral Health Case Manager position?

The typical pay range is $66,575.00 - $142,576.00, depending on factors like experience, education, and geography. This position is also eligible for a CVS Health bonus, commission, or short-term incentive program.

Is this a remote position, or do I need to be in a specific location?

This is a field-based position requiring residence in McHenry County IL or surrounding areas (specific zip codes: 60013, 60014, 60050, 60098, 60102, 60110, 60142, 60152, 60156, 60614), with 50-75% travel for face-to-face member meetings in Northside Chicago/loop and surrounding areas. Reliable transportation is required, and mileage is reimbursed per company policy.

What are the required qualifications and skills for this role?

Candidates need an active IL BH clinical license (LCSW, LCPC, LMFT), a Master's degree in social services, human services or behavioral health, minimum 2 years of experience in behavioral health or social services, and residence in specified areas with travel willingness.

What preferred qualifications would make me stand out for this case manager role?

Preferred experience includes case management and discharge planning, managed care, Microsoft Office, and working with HIV and AIDS populations.

What are the work hours and employment type for this position?

This is a full-time position with anticipated weekly hours of 40.

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

Benefits

Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Disability Insurance
401(k) Retirement Plan
Company Equity
Wellness Program
Professional Development Budget
Paid Vacation
Paid Holidays

Risks

Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.
The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.
The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.

Differentiation

CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.
The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.
CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.

Upsides

Expansion of telehealth services allows CVS to reach more patients remotely.
Increased consumer interest in wellness boosts demand for CVS's health-related products.
The trend towards value-based care aligns with CVS's integrated healthcare approach.

Land your dream remote job 3x faster with AI