Clinical Case Manager Behavioral Health - Commercial Plan
CVSHealth
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Behavioral Health Clinician (Work at Home)
Schedule: Standard business hours with one early-evening shift weekly (until 7pm, local time)
Holidays: Enjoy all major holidays off
Join a compassionate, mission‑driven team that empowers individuals to lead healthier, more fulfilling lives. As a Behavioral Health Clinician, you’ll use your clinical expertise to support members navigating physical and behavioral health challenges—helping them access the right care, at the right time, with the right support.
What You’ll Do
Comprehensive Member Support
- Conduct holistic assessments using clinical tools and data insights to understand each member’s needs and eligibility for available services
- Develop tailored care plans by integrating benefit information and both internal and external resources
- Apply advanced clinical judgment to address risk factors and guide members toward improved health outcomes
Crisis Intervention & Care Coordination
- Provide skilled crisis intervention for members experiencing behavioral health or medical emergencies
- Coordinate follow-up care to ensure members connect with appropriate providers and services
- Collaborate closely with providers, supervisors, Medical Directors, and additional programs to reduce barriers and optimize care
Promoting Quality, Engagement & Better Health
- Apply clinical guidelines, criteria, and policies to support high-quality, medically appropriate care
- Use motivational interviewing and engagement strategies to empower members and encourage healthy behavior change
- Educate and coach members to participate confidently in their health decisions
- Monitor progress using clinical, self-reported, and utilization data to continuously refine care plans
Documentation & Care Monitoring
- Develop, track, and adjust individualized plans of care based on member goals
- Maintain compliance with accreditation standards and company policies using case management and quality management processes
- Ability to multitask effectively—including typing and talking with members simultaneously
Required Qualifications
- Master’s degree in a behavioral health field
- Minimum 3 years of post-master’s direct clinical experience (hospital, outpatient, ambulatory, or similar care settings)
- Strong knowledge of mental health and substance use disorders
- Experience with Motivational Interviewing
- Solid technological skills and comfort using digital tools in a remote environment
- Active, unrestricted, and independent behavioral health license in your state of residence.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$66,575.00 - $142,576.00This pay range represents the base hourly rate or base annual full-time 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 short-term 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.
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.
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 02/28/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.