Clinical Case Manager Behavioral Health
| Company | CVS Health |
|---|---|
| Location | Shrewsbury, NJ, USA, Middletown Township, NJ, USA, Lakewood, NJ, USA, Manalapan Township, NJ, USA |
| Salary | $72627 – $155538 |
| Type | Full-Time |
| Degrees | Master’s |
| Experience Level | Mid Level |
Requirements
- Must reside in Monmouth County
- Must be willing and able to travel up to 75% in Monmouth, Ocean County and surrounding counties.
- Reliable transportation required. Mileage is reimbursed per our company expense reimbursement policy
- Licensed Clinical Social Worker or Licensed Social Worker in NJ
- 2+ years Behavioral Health experience
- Successful completion of the NJ Choice certification is a contingency of employment. As per NJ Division of Aging Services, Office of Community Choice Options guidance, an exam score of 80% or higher is required, along with successful completion of the State training modules, and field mentoring component.
Responsibilities
- Develop, implement, support, and promote health service strategies, tactics, policies, and programs that drive the delivery of quality healthcare to members.
- Conduct face to face visits using comprehensive assessments of members enrolled in Managed Long-Term Services and Supports program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE).
- Coordinate and collaborate care with member/authorized representative, PCP, and any other care team participant.
- Attend interdisciplinary meetings and advocate on members behalf.
- Work with member and care team to develop care plan and authorize services within the MLTSS/ FIDE benefit.
- Coordinate and assist with community resources.
- Document accurately and timely in the electronic health record.
- Mentor new hires, once a level of proficiency has been attained in their role.
Preferred Qualifications
- Case management and/or discharge planning experience
- Managed Care experience
- Crisis intervention skills
- LTSS experience
- Previous work in geriatric case management