Full-Time

Clinical Case Manager Behavioral Health-Field

Confirmed live in the last 24 hours

CVS Pharmacy

CVS Pharmacy

10,001+ employees

Retail pharmacy and healthcare services provider

Healthcare
Consumer Goods

Compensation Overview

$66.6k - $142.6kAnnually

+ Bonus + Commission + Short-term Incentive Program

Entry, Junior, Mid

Company Historically Provides H1B Sponsorship

Urbana, IL, USA

Telework position with up to 50-75% travel in designated region of Illinois.

Category
Nursing & Allied Health Professionals
Medical, Clinical & Veterinary
Requirements
  • Active, unrestricted LCSW, LCPC, or LMFT in the state of Illinois
  • Minimum two years experience working with children
  • Willing and able to travel up to 50-75% of their time to meet members face to face within one hour of their location.
  • Reliable transportation required; mileage is reimbursed per company expense reimbursement policy.
  • Minimum requirement of Masters degree in Counseling or Social Work
  • Basic awareness of problem solving and decision making skills
Responsibilities
  • Executes evaluation of member needs and benefit plan eligibility and facilitates member transition to the organization's programs and plans;
  • Applies advanced clinical judgement to incorporate strategies designed to reduce risk factors and barriers, and to address complex health indicators that impact care planning and resolution of member issues;
  • Handles reviews of prior claims to address potential impact on current case management and eligibility;
  • Creates a holistic approach to assess the need for referrals to clinical resources and to assist in determining functionality;
  • Ensures case management processes follow organization and regulatory requirements;
  • Implements systems to maximize member engagement, discern health status and needs, and to assess member levels of work capacity and restrictions;
  • Coaches and trains junior colleagues in techniques, processes, and responsibilities.

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, beauty items, and general merchandise. CVS Health also functions as a pharmacy benefits manager, serving over 75 million plan members, and has a senior pharmacy care business that assists more than one million patients each year. This integrated model allows CVS Health to deliver affordable health management solutions, improving access to quality care and health outcomes while aiming to reduce overall healthcare costs. Unlike many competitors, CVS Health combines retail pharmacy services with clinical care and pharmacy benefits management, positioning itself as a significant player in the healthcare sector with a commitment to enhancing people's health.

Company Stage

N/A

Total Funding

N/A

Headquarters

Woonsocket, Rhode Island

Founded

N/A

Growth & Insights
Headcount

6 month growth

-2%

1 year growth

-2%

2 year growth

-2%
Simplify Jobs

Simplify's Take

What believers are saying

  • The availability of updated flu and COVID-19 vaccines at CVS Pharmacy and MinuteClinic locations nationwide positions the company as a key player in public health initiatives.
  • The Health Zones funding and collaboration with local organizations in Fresno highlight CVS Pharmacy's role in improving community health outcomes.
  • The introduction of a new store brand for snacks, beverages, and groceries could attract a broader customer base and increase in-store sales.

What critics are saying

  • The competitive landscape in the retail pharmacy sector is intense, with major players like Walgreens and Rite Aid posing significant challenges.
  • The expansion into grocery and snack products may dilute CVS Pharmacy's brand identity as a healthcare provider.

What makes CVS Pharmacy unique

  • CVS Pharmacy's integration of digital tools for scheduling vaccinations and accepting walk-ins offers a seamless and convenient experience for customers, setting it apart from competitors.
  • The company's Health Zones initiative, which focuses on community health and access to healthy food, demonstrates a commitment to social responsibility that goes beyond traditional pharmacy services.
  • CVS Pharmacy's recent launch of a new store brand for snacks, beverages, and groceries diversifies its product offerings, making it a one-stop shop for consumers.

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