Behavioral Health Clinical Case Manager – LCPC/LCSW
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Behavioral health case manager supporting Illinois members for CVS Health and Aetna. Assessing crises, coordinating care, and monitoring member treatment plans remotely.
Responsibilities:
- Develop, implement, support, and promote Health Services strategies, tactics, policies, and programs for Aetna
- Facilitate appropriate member physical health and behavioral healthcare through assessment and care planning
- Coordinate and collaborate directly with providers
- Coordinate psychosocial wraparound services
- Conduct comprehensive assessments of referred members’ needs and eligibility
- Evaluate benefit plans and internal and external programs/services to determine case resolution approaches
- Apply clinical judgment to reduce risk factors and address complex clinical indicators
- Perform crisis intervention for members experiencing behavioral health or medical crises
- Refer members to appropriate clinical providers for assessment and treatment
- Provide crisis follow-up to ensure members receive appropriate treatment and services
- Apply and interpret clinical criteria, guidelines, standardized case management plans, policies, procedures, and regulatory standards
- Consult with supervisors, Medical Directors, and other programs to overcome barriers to care goals
- Present cases at multidisciplinary case conferences
- Identify and escalate quality-of-care issues through established channels
- Communicate with medical and behavioral health professionals to influence appropriate member care
- Use motivational interviewing to engage members and promote lifestyle and behavior changes
- Coach and empower members to make independent medical and healthy lifestyle choices
- Help members participate knowledgeably in healthcare decision-making with providers
- Analyze utilization, self-report, and clinical data to identify comprehensive member needs
- Develop and monitor plans of care collaboratively with members and care teams
- Use case management and quality management processes in compliance with regulatory, accreditation, and company requirements
Requirements:
- Must reside in Illinois
- Reliable transportation and willingness and ability to travel up to 25% of the time in and around the candidate’s home location
- Active and unrestricted Licensed Clinical Social Worker (LCSW) or Licensed Clinical Professional Counselor (LCPC) license in Illinois
- 3–5 years of direct clinical practice experience post master’s degree, such as in a hospital, ambulatory care, or outpatient clinic/facility setting
- Master’s Degree in Behavioral/Mental Health or related field (required)
- Confidence working at home and independently using virtual collaboration tools
- Excellent analytical and problem-solving skills
- Effective communication, organizational, and interpersonal skills
- Ability to work independently
- Effective computer skills, including navigating multiple systems and keyboarding
- Proficiency with MS Word, Excel, Outlook, PowerPoint, and proprietary applications
- Direct/hardwired internet connection to a modem/router within 7 feet of the computer
- Minimum internet speed of 25 Mbps download and 3 Mbps upload
- WiFi and satellite internet are not permitted
- Quiet, secure, private, designated home virtual work location compliant with CVS Health and HIPAA guidelines
- Must work within the state and city where currently living
- Must provide own workspace furniture
- Ability to use multiple monitors and navigate multiple applications simultaneously
- Ability to use digital communication channels including email, calendar invites, Teams messaging, and virtual meetings
- Experience with Microsoft Office 365 applications or similar Google Workspace tools
- Ability to access secure systems such as VPN and EHR portals
- Ability to follow computer and password security practices and identify suspicious emails or links
- Ability to resolve common technical issues independently
- Openness to learning new skills as the workplace evolves
- Preferred: case management and discharge planning experience
- Preferred: managed care/utilization review experience
- Preferred: crisis intervention skills
Benefits:
- CVS Health bonus, commission or short-term incentive program in addition to base pay
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being
- Mileage reimbursement according to company expense reimbursement policy
- Company-provided equipment including keyboard, monitor, computer, and headset
- Remote work from home
- Comprehensive benefits package for full-time employees
Similar Jobs
Retail District Manager
Retail District Manager leading merchandiser teams for Premium Retail Services, a retail sales and merchandising agency. Managing in-store execution, projects, staffing, performance, and territory coverage.
RN Field Care Manager – Medicaid HCBS/LTSS
Humana RN coordinating Medicaid and Medicare members’ home-based care in Wayne and Macomb Counties. Conducting assessments, care planning, and LTSS/HCBS compliance activities.
Subscriber Development Manager
Subscriber Development Manager guiding UK prospects through tailored demonstrations and evaluations. Helping organizations adopt Benchmark Gensuite’s EHS, Sustainability, and ESG software.
Field Reimbursement Manager
Field Reimbursement Manager supporting reimbursement, payer education, and patient services for McKesson’s healthcare products. Serving Long Island physician offices and manufacturer representatives through field-based education and case support.
Manager, North American PMO
PMO manager leading project managers and portfolio delivery for LexisNexis Risk Solutions, a business risk-assessment provider. Driving reporting, governance, financial performance, and client outcomes.
Senior Channel Manager
Channel Manager growing VAR, reseller, and strategic cybersecurity partnerships for Vega’s AI-native SOC platform. Driving partner-sourced pipeline across Chicago’s North Central enterprise market.
Case Manager, RN
Remote Case Manager RN coordinating assessments, care plans and discharge planning for CVS Health members. Advocating for quality, cost-effective healthcare outcomes.
Manager, Medicaid Market Research, Competitive Analysis
Medicaid market research manager guiding Aetna’s health-plan capture and proposal strategy. Translating competitor and customer intelligence into winning proposal insights.
Vessel Management System Manager
Vessel Management System Manager overseeing Leidos’ HELM software for maritime fleet maintenance, compliance, and inventory. Supporting vessel reliability, regulatory readiness, and operational decision-making.
Area Manager
Area Manager overseeing territory operations and growth for CWS, a public works services employer. Managing municipal utility projects, client relations, financial performance, and Project Managers.
Technical Surveying Manager
Technical Surveying Manager supporting UK lenders with residential new-build valuation and risk advisory. Reviewing high-risk developments, improving processes, and guiding surveyor teams.
Subsidence Indemnity Manager
Subsidence indemnity manager diagnosing structural damage and improving claims outcomes for Lloyds Banking Group. Managing suppliers, site visits, technical investigations, and data-driven claims optimisation.
Surveying Quality Manager
Surveying Quality Manager driving technical quality, compliance, and MI analysis for e.surv, the UK’s largest residential surveying services provider. Supporting policies, audits, risk reporting, and B2C survey products.
Senior Asset Manager, Full-Time/Part-Time
Senior Asset Manager overseeing energy-efficient building systems and facility services for Techem. Managing maintenance, KPIs, optimization, compliance, and customer-related technical escalations.
AMS Delivery Manager
AMS Delivery Manager für Proalphas ERP- und Business-Applications im deutschen Mittelstand. Steuerung von Kundenserviceprozessen, Ressourcen und ERP-Serviceentwicklung.
Medical Infocomm Manager – Medical Aesthetics
Medical Infocomm Manager communicating AbbVie aesthetics products to healthcare institutions in China. Managing customer networks, clinical communication, training, and regional project execution.
Engagement Manager
Engagement Manager owning white-glove deployments of Code Metal’s code-translation platform. Managing defense customer relationships, project governance, and production rollouts.
Contracts Manager
Contracts Manager administering and negotiating U.S. government contracts for Code Metal, a defense code-translation company. Advising leadership on compliance, risk, proposals, and contract lifecycle execution.
Portfolio Manager
Portfolio Manager scaling Molex’s electronics manufacturing, capacity expansion, and product commercialization initiatives. Prioritizing investments and guiding global operations for data-center connectivity customers.
Facilities Manager
Facilities Manager overseeing Western Australia commercial building systems, contractors, and compliance for JLL, a global real estate and investment management services provider.