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.

Clinical Case Manager – Licensed Behavioral Health Clinician

Location: Work at Home (USA)
Schedule: Monday–Friday, 8-5 Your time Zone
No weekends, no holidays

Position Summary

Behavioral Health Case Manager, you will utilize your clinical expertise to help guide members through complex health journeys and ensure they receive the care and support they need.

In this role, you’ll leverage advanced clinical judgment and critical thinking to assess member needs, develop care plans, coordinate with providers, and connect individuals to psychosocial wraparound services. Your work will promote effective resource utilization and drive optimal, cost-effective health outcomes.

Key Responsibilities

Member Assessment & Crisis Support

• Conduct comprehensive assessments using clinical tools and data to determine member needs and eligibility telephonically.

• Evaluate benefit plans and available resources to guide care planning.

• Apply clinical strategies to reduce risk factors and address complex health indicators.

• Provide crisis intervention and follow-up to ensure members receive appropriate behavioral and medical care.

Care Coordination & Quality Improvement

• Collaborate with providers and internal teams to develop and monitor personalized care plans.

• Use motivational interviewing to engage members in their health journey and promote lifestyle changes.

• Identify and escalate quality-of-care concerns through established channels.

• Ensure compliance with regulatory and accreditation standards.

Required Qualifications

• 3+ years of post-master’s clinical experience in hospital, outpatient, or ambulatory settings

• 3+ years of experience in behavioral health and substance use disorder care

• Strong communication skills with the ability to manage crisis calls and multitask (talk and type simultaneously)

• Proficiency in motivational interviewing and technology platforms

Preferred Qualifications

• Crisis intervention experience

• Background in managed care or utilization review

• Experience in case management and discharge planning

Education and Licensing

• Master’s degree in Behavioral/Mental Health or related field (e.g., Social Work, Counseling, Psychology)

• Active, unrestricted independent clinical license in your state: LCSW, LISW, LCPC, LP, LMFT, LMHC

Why Join Us?

• 100% Remote: Work from your home - anywhere in the U.S.

• Work-Life Balance: No nights, weekends, or holidays

• Collaborative Culture: Partner with experienced clinicians and medical directors

• Purpose-Driven Work: Help members navigate complex health challenges

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,095.00 - $116,760.00

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: 03/31/2026

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