CVS Health logo
CVS Health

Bringing our heart to every moment of your health.

Clinical Case Manager, Behavioral Health

ManagerManagerFull TimeRemoteLeadTeam 10,001+Since 1963H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

2 days ago

Salary

$66.6K - $142.6K / year

Seniority

Lead

No structured requirement data.

Job Description

Clinical Case Manager, Behavioral Health

CVS Health

Role Description 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. Schedule is Monday-Friday 8am - 5pm MST/PST. One late day/night a week. No weekends and no holidays. This is a fully telework role. Anywhere in Continental US. 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 - Coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes Assessment of Members: - Conducts comprehensive assessments of referred member’s needs/eligibility and determines approach to case resolution by evaluating member’s benefit plan and available internal and external programs/services. - Applies clinical judgment to incorporate strategies designed to reduce risk factors and address complex clinical indicators impacting care planning and resolution of member issues. - Performs crisis intervention with members experiencing behavioral health or medical crisis and refers them to appropriate clinical providers for thorough assessment and treatment. - Provides crisis follow-up to ensure members are receiving appropriate treatment/services. Enhancement of Medical Appropriateness and Quality of Care: - Application and/or interpretation of applicable criteria and clinical guidelines while assessing benefits and/or member’s needs. - Consults with supervisors, Medical Directors and/or other programs to overcome barriers to meeting goals and objectives. - Presents cases at case conferences to obtain multidisciplinary views for optimal outcomes. - Identifies and escalates quality of care issues through established channels. - Speaks to medical and behavioral health professionals to influence appropriate member care. - Utilizes influencing/motivational interviewing skills to ensure maximum member engagement. - Provides coaching, information and support to empower members to make ongoing independent medical and/or healthy lifestyle choices. - Helps members actively participate with their provider in healthcare decision-making. - Analyzes all utilization, self-report and clinical data to identify comprehensive member needs. Monitoring, Evaluation and Documentation of Care: - In collaboration with the member and their care team, develops and monitors established plans of care to meet member’s goals. - Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines. - Must be able to multitask. Qualifications - Masters prepared behavioral health clinician with unrestricted Independent Behavioral Health licenses in the state where they work (LPC, LCSW, LISW, LMFT, LCMHC, PsyD). - 3+ years of direct clinical practice experience post master's degree, e.g., hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility. - 3+ years experience with mental health and/or substance abuse disorders. - 3+ years Microsoft Suite experience (e.g., Word, Excel). - 3+ years using documentation systems. Requirements - Crisis Intervention skills. - Managed care experience. - Case Management and discharge planning experience. - Motivational Interviewing skills. Education - Minimum of a Master’s degree in Behavioral/Mental Health or related field. Anticipated Weekly Hours - 40 Time Type - Full time Pay Range The typical pay range for this role is: $66,575.00 - $142,576.00. 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. Benefits - Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. - Medical, dental, and vision coverage. - Paid time off. - Retirement savings options. - Wellness programs and other resources, based on eligibility. We anticipate the application window for this opening will close on: 07/20/2026. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Related Categories

Related Job Pages

More Manager Jobs

Housecall Pro logo

Senior Manager, Data Migration

Housecall Pro

Mission control for your business - Housecall Pro is a digital tool that lets you run and grow your business on the go.

Manager2 days ago
Full TimeRemoteTeam 1,001-5,000Since 2013H1B Sponsor

Role Description As a Senior Manager, Data Migration (internally Senior Manager, Data Operations), you are the driving force behind data migration strategy and execution for our most complex franchise organizations. You own the end-to-end data migration lifecycle, from discovery and planning through execution and validation, ensuring franchise partners experience a seamless transition onto our platform. - Lead the full data migration lifecycle for franchise partners by conducting structured discovery sessions and designing rigorous transition roadmaps. - Map legacy data structures and identify critical risks, blockers, or dependencies before the initialization of a migration plan. - Troubleshoot technical errors or edge cases within platform import environments alongside Product and Engineering stakeholders. - Translate platform capabilities and constraints into transparent, strategic, partner-facing communications to guide tradeoffs. - Establish high-trust relationships with franchise operators through data-backed recommendations and sound execution under pressure. - Align C-suite sponsors, operational leads, and IT contacts around a unified, comprehensive enterprise migration strategy. - Voice the technical needs of franchise partners during internal planning sessions to help shape the roadmap for data tooling. - Collaborate with Sales, Onboarding, and Support to ensure seamless customer handoffs from pre-sale through stabilization. - Build scalable frameworks, toolkits, and playbooks that standardize data delivery across the enterprise portfolio. Qualifications - 7-8 years of experience in data operations, technical account management, implementation, or customer success within a SaaS environment. - Demonstrated expertise directing complex data migrations or technical onboarding programs for multi-location or franchise business models. - Proven experience driving team efficiency or output quality through the strategic use of AI tools and automation. - Strong technical acumen with structured data and formats (i.e. CSV, JSON, APIs) alongside advanced proficiency in spreadsheet tooling (i.e. Excel, Google Sheets). - Familiarity with scripting or relational databases is preferred (i.e. Python, SQL). - Track record of translating complex technical environments into crisp narratives for non-technical executives. - Experience refining organizational processes, playbooks, and delivery structures in a fast-moving environment. - Bachelor's degree or equivalent work experience. Requirements - Proven resilience to learn from scratch, has a builder mentality and successfully thrive in ambiguity. - A multi-dimensional background with a breadth of cross-functional interests or depth of specialized mastery. - Analytical groundings matched with executive presence, enabling you to dissect a data anomaly and present a high-level corporate roadmap with equal clarity. - Steady decision-making behaviors under compressed timelines, injecting structure where processes do not yet exist. - True passion for customer outcomes, choosing to evaluate personal success against partner confidence and platform adoption. Benefits - A generous benefits program that supports the whole you with medical, dental, vision, life, disability, and 401(k). - Paid holidays and flexible, take-it-as-you-need-it paid time off. - Equity in a rapidly growing startup backed by top-tier VCs. - Monthly tech reimbursements. - A culture built on innovation that values big ideas, no matter where they come from.

United States
$92K - $108K / year
Full TimeRemoteTeam 10,001+Since 1930H1B No Sponsor

• Subject matter expert in pest control strategies for specified market segment/s and LOBs • Responsible for developing, and supporting Operations with implementation of best of breed service delivery protocols and processes • Supports Operations in the resolution of service quality issues, pest infestation, and customer satisfaction issues through data analysis, site assessments, troubleshooting, coaching, development and deployment of corrective action plans • Coaches and develops pest control knowledge and acumen of Operations leaders to enable development and coaching of Technicians • Proactively monitors service performance against KPIs, problem solves with Operations leaders, National Accounts, and Sales to ensure performance thresholds are met • Collaborates with Technical Account Managers and National Account Managers to drive Actions and Recommendation resolution by RTX and Customers • Develops action plans and SMART goals to improve service quality • Drives technical improvement to protocols, and service delivery processes to improve customer retention, operational efficiency, financial performance, and colleague retention

New York
$73K - $111K / year
KeyBank logo

Workout Portfolio Manager

KeyBank

Founded in 1849, KeyBank is described as one of America's largest bank-based financial services companies with assets exceeding $140 billion. The company contin

Manager2 days ago

• Provides support for designated Asset Recovery Group Relationship Manager(s) and Support Staff • Works within a Regional Team committed to overall excellence in effectively assessing and mitigating risk in all aspects of the client relationship • Prepares thorough underwriting, credit presentations, Asset Quality Reports, and term sheets of restructures • Assists in ongoing monitoring of credits in their portfolio • Proactively identifies issues and addresses them with the RM and/or Borrower • Participates in client meetings and can act as a client-facing contact for ARG Borrowers • Works closely with multiple parties to achieve a well-coordinated and timely restructure/deposit closing/opening.

Colorado + 1 moreAll locations: Colorado | Ohio
$63K - $96K / year
MNTN logo

Manager, Revenue Forecasting & Analytics

MNTN

The hardest working software in television.

Manager2 days ago
Full TimeRemoteTeam 201-500H1B No Sponsor

Role Description We're looking for a Manager, Revenue Forecasting & Analytics to lead the team responsible for building and scaling MNTN's forecasting capabilities. Reporting to the Senior Manager, Business Analytics Engineering, you'll own the models, methodologies, and planning processes that drive: - Revenue forecasting - Spend forecasting - Net revenue projections - Executive scenario planning This is not a traditional FP&A role. Rather than owning budgets, accounting, close, or financial reporting, you'll own the forecasting function, developing scalable models and planning frameworks that help predict where the business is going, not simply report where it's been. Success in this role depends on your ability to continuously identify what's preventing forecasts from being as accurate and timely as they could be. Sometimes the answer is improving a forecasting model. Other times it means uncovering gaps in upstream business processes, data quality, or systems and driving cross-functional solutions to address them. You'll need to influence without direct authority, partnering across Finance, Revenue, Data, and Engineering to strengthen the inputs that power business planning. What You'll Do - Lead, coach, and develop a team of Financial Analytics Engineers, setting priorities, driving execution, and fostering a high-performing, accountable culture. - Own the company's forecasting methodology across revenue, spend, net revenue, and company planning, continuously improving forecast accuracy and consistency. - Design, build, and evolve driver-based forecasting models that support executive decision-making, long-range planning, and scenario analysis. - Continuously identify gaps in data, systems, and business processes that limit forecasting accuracy or scalability, and lead cross-functional efforts to resolve them. - Influence stakeholders across Finance, Revenue, Operations, Data, and Engineering to implement process improvements, improve data quality, and strengthen the systems that power forecasting. - Lead the evolution of forecasting from spreadsheet-driven processes to scalable planning platforms and repeatable workflows. - Partner with Engineering to operationalize forecasting models within modern data platforms and planning tools. - Establish governance, documentation, and feedback loops that measure forecast performance, identify root causes of variance, and drive continuous improvement. Qualifications - 8+ years of experience in financial forecasting, strategic finance, financial analytics, or business planning within a modern SaaS, fintech, advertising technology, or other high-growth technology company. - 4+ years of people management experience, with a proven track record of building, coaching, and developing high-performing technical or analytics teams. - Deep expertise building forecasting models for revenue, spend, net revenue, and long-range planning in a technology business. - Strong understanding of SaaS and technology business metrics, unit economics, financial statements, and forecasting methodologies. - Demonstrated ability to identify root causes behind forecasting or planning challenges and drive improvements to business processes, systems, or data quality. - Proven success influencing cross-functional stakeholders without direct authority to implement operational or technical change. - Experience with enterprise planning platforms such as Adaptive Planning, Anaplan, Pigment, or similar forecasting tools. - Comfortable using SQL to validate and explore data; deep analytics engineering expertise is not required. What Success Looks Like - Forecast accuracy improves because you've systematically identified and resolved the underlying data, process, and systems gaps—not just refined forecasting models. - Revenue, spend, and company forecasts become trusted inputs for executive decision-making because assumptions are transparent, methodologies are consistent, and business inputs are reliable. - Cross-functional teams adopt new processes and system improvements that strengthen the quality, consistency, and timeliness of forecasting inputs. - Forecasting evolves from a spreadsheet-driven exercise into a scalable planning capability supported by modern systems, reliable data, and repeatable workflows. - Your team is recognized as a trusted strategic partner, proactively identifying risks, surfacing opportunities, and driving improvements across Finance, Revenue, Operations, Data, and Engineering. Company Description MNTN provides advertising software for brands to reach their audience across Connected TV, web, and mobile. MNTN Performance TV has redefined what it means to advertise on television, transforming Connected TV into a direct-response, performance marketing channel. Our web retargeting has been leveraged by thousands of top brands for over a decade, driving billions of dollars in revenue. - Our solutions give advertisers total transparency and complete control over their campaigns all with the fastest go-live in the industry. - As a result, thousands of top brands have partnered with MNTN, including Tarte, Decked, and National University.

United States