Clinical Case Manager Behavioral Health-Spanish Speaking
| Company | CVS Health |
|---|---|
| Location | Jackson Township, NJ, USA |
| Salary | $72627 – $155538 |
| Type | Full-Time |
| Degrees | Master’s |
| Experience Level | Mid Level |
Requirements
- 3+ years of direct clinical practice experience
- Master’s degree in behavioral health field with unrestricted license in state of residence (ex: LPC, LMFT, LCSW, LMHC, LCMHC, LICSW, LISW, Clinical Psychologist.), or active Compact RN license with extensive behavioral health background (BSN preferred)
- 2+ year of experience with Microsoft Office applications (Outlook, Teams, Excel)
- Must have dedicated work area established with high speed internet connection with ethernet hard line connection
- Bilingual Spanish and English
Responsibilities
- Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services
- Applies clinical judgment and incorporates strategies designed to reduce risk factors for readmission and addresses complex clinical indicators which impact care planning and resolution of member issues
- Uses Motivational Interviewing and engagement interventions to optimize member participation in case management programs
- Conducts comprehensive assessments of member’s needs and determines approach to case resolution and meeting needs by evaluating member’s benefit plan and available internal and external programs and services with intent of reducing readmissions
- Documents in healthcare clinical systems to support ACA Individual Family Plan population
- Provides BH consultation and collaboration with Aetna partners and other Shared Services with active participation in Interdisciplinary Care Team case conferences
- Participates in team activities focused on program development
- Assists members completing medication reconciliation, provider referrals for aftercare and locating community based behavioral health resources as well as locating resources for social determinants of health
Preferred Qualifications
- Crisis intervention skills
- Managed care or utilization review experience
- Case management and discharge planning experience
- Substance Use Disorder experience
- Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually