Clinical Case Manager Behavioral Health – Spanish Speaking – Work at Home
At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose‑driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
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 wrap‑around services to promote effective utilization of available resources and optimal, cost‑effective outcomes.
Responsibilities
Telephonic clinical case management with Medicare population.
Uses Motivational Interviewing and engagement interventions to optimize member participation in case management programs.
Completes a Comprehensive Assessment and Plan of care.
Documents the assessment and plan in clinical systems to support legacy Aetna and Coventry membership.
Provides BH consultation and collaboration with Aetna partners.
Actively participates in clinical treatment rounds.
Actively participates in team activities focused on program development; innovative thinking expected.
Spends the majority of time at a desk on telephonic member outreach and computer documentation.
Assists members with locating community‑based behavioral health resources.
Required Qualifications
3+ years of direct clinical practice experience.
An active and unrestricted clinical behavioral health license in the state of residence is required (ex: LPC, LCSW, LMFT, LPCC, LISW, LSW).
Required to use a residential broadband service with internet speeds of at least 25 Mbps/3 Mbps to ensure sufficient speed to adequately perform work duties; some candidates may be eligible for partial reimbursement of the cost of residential broadband service.
Master’s Degree in Social Work or Counseling required.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
$54,095.00 – $116,760.00 (Base hourly rate or full‑time salary; actual offer will depend on experience, education, geography and other factors. Position eligible for bonus, commission or short‑term incentive program.)
Benefits
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.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We anticipate the application window for this opening will close on: 11/08/2025
For more information, visit https://jobs.cvshealth.com/us/en/benefits