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.

Position Overview

We are seeking an experienced and compassionate Behavioral Health Case Manager to join our Clinical Health Services team. In this role, you will conduct comprehensive assessments, coordinate care, support members during behavioral health or medical crises, and ensure members receive high‑quality, clinically appropriate services. You will apply advanced clinical knowledge, collaborate across multidisciplinary teams, and empower members to make informed decisions about their health.

Key Responsibilities

Member Assessment & Crisis Support

• Conduct detailed clinical assessments to determine member needs, eligibility, and appropriate care pathways.
• Evaluate benefit plans and identify applicable internal and external resources.
• Use clinical judgment to identify risk factors and address complex behavioral or medical indicators.
• Provide crisis intervention and ensure members receive timely clinical assessments and appropriate treatment.
• Perform follow-up outreach to ensure ongoing engagement in recommended services.

Care Coordination & Quality Enhancement

• Apply and interpret clinical guidelines, criteria, and policies to ensure appropriate care and benefits administration.
• Collaborate with Medical Directors, supervisors, and multidisciplinary teams to address barriers and enhance outcomes.
• Identify and escalate potential quality-of-care issues.
• Communicate effectively with medical and behavioral health providers to influence evidence‑based care decisions.
• Use motivational interviewing and coaching techniques to encourage healthy lifestyle changes and member engagement.
• Review utilization, self-reported, and clinical data to identify and address comprehensive member needs.

Monitoring, Documentation & Care Planning

• Partner with members and care teams to develop personalized care plans aligned with member goals.
• Monitor progress and adjust plans as needed to support successful outcomes.
• Maintain thorough, accurate documentation in accordance with organizational, regulatory, and accreditation standards.
• Adhere to case management and quality management processes to ensure consistent and compliant service delivery.

Required Qualifications

• Unencumbered Behavioral Health clinical license in the state of practice (e.g., LCSW, LCPC, LMFT, etc.).
• Master’s degree in Behavioral Health, Mental Health, or a related field.

Preferred Qualifications

• 3–5 years of post‑master’s direct clinical experience in a hospital, outpatient clinic, or alternative care setting.
• Case management or discharge planning experience.
• Experience in managed care or utilization review.
• Crisis intervention training and experience.

Ideal Candidate

The ideal candidate is a clinically skilled professional who can think critically, remain calm in crisis situations, and work collaboratively across teams. They thrive in a member‑focused environment, excel at motivational interviewing, and are committed to promoting high‑quality, person‑centered care.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$66,575.00 - $142,576.00

This 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: 04/17/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.