Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

OverviewDesigns and implements Clinical Health medical services, leveraging industry-proven procedures and best practices. Assists with clinical Health Service programs, procedures, and services.

What you will do

Owns responsibility for the implementation and oversight of Behavioral Health healthcare case management staff, including progressing initiatives for high-performing health service teams. healthcare case management staff, including progressing initiatives for high-performing health service teams.

Works closely with functional Health Services managers in order to ensure ongoing consistency and accuracy in clinical interventions supporting current members.

Takes accountability for completing tasks aimed to successfully achieve the financial, operational, and quality objectives of the work area.

Functions as a key resource to healthcare members for governmental, state, local, and legal initiatives including the Consolidated Omnibus Budget Reconciliation Act (COBRA), Emergency Medical Treatment Labor Act (EMTALA), and Medicare acts and regulations.

Assists in implementing and sustaining action plans, initiatives, and strategies for Clinical Health Services policies and procedures.

Provides application expertise to Health Services account managers as needed, to aid in the retention of existing clients by improving team member use of healthcare resources and tools.

Partners with patient resources and divisional management, Clinical Education, and other key departments to assist in the evaluation of performance initiatives, subsequently recommending appropriate training to positively impact outcomes.

Works to implement effective Clinical Health Services change management plans when new initiatives are rolled out or enhanced by upper management.

Facilitates regular staff meetings to ensure all team members are fully versed on ongoing as well as new work area policies, procedures, and expectations.

Requirements

3+ years work experience in MCO and Behavioral Health

Requires applicable license/certification and - specialized knowledge and expertise from entry to experienced level

3+ years as a Licensed Clinical Social Worker or RN

2+ years of experience with personal computers, keyboards and multi-system navigation, and MS Office Suite applications (Outlook, Word, Excel, SharePoint, etc.)

Advanced problem solving and decision making skills.

Preferred

2+ years of leadership, management, or supervisory experience preferred

3+ years Clinical experience

Advanced knowledge of medical terminology.

Advanced collaboration and teamwork skills.

Advanced growth mindset skills (agility and developing yourself and others).

Advanced skills in execution and delivery (planning, delivering, and supporting).

Ability to consider the relative costs and benefits of potential actions to choose the most appropriate option.

Advanced digital literacy skills.

Education

Bachelors degree required, Master's Degree, Behavioral Health preferredPay Range

The typical pay range for this role is:

$84,357.00 - $181,700.00

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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 05/31/2024

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.