Clinical Case Manager Behavioral Health - Field - Must reside in Cook County Illinois

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.

Position Summary

Join Aetna’s Illinois care management team supporting the D‑SNP FIDE (Fully Integrated Dual Eligible Special Needs Plan) population. As a Behavioral Health Field Case Manager, you will deliver person-centered case management through assessment, planning, care coordination, advocacy, and evaluation to achieve quality, cost-effective outcomes. You will collaborate with members, caregivers, providers, and community partners to address the full continuum of care and social determinants of health, conduct telephonic and in-person outreach within the geographic area of the required location, and support transitions of care. Responsibilities include comprehensive biopsychosocial assessments, individualized care plan development, transitions-of-care support, provider and community coordination, crisis response/intervention and follow-up, application of clinical criteria and guidelines, quality of care identification/escalation, case conferencing, documentation and outcomes evaluation in compliance with regulatory/organizational standards, and ongoing monitoring of goals and outcomes.

Required Qualifications

• Residence: Must reside in/near Cook County IL; Applicable zip codes are 60623, 60624, 60644, or 60804, and be able to travel up to 50-75% of the time within Cook County and surrounding counties for in-person case management activities as needed
• 3–5 years direct, post-master’s clinical practice (e.g., hospital, ambulatory, outpatient, community).
• 2–3 years care management, discharge planning, and/or home health care coordination.
• Proficiency navigating multiple systems, documentation platforms/EMR, and Microsoft 365 (Word, Excel, Outlook, PowerPoint, Teams); able to learn new tools quickly and navigate multiple systems efficiently.
• Proven remote/independent work skills with virtual collaboration tools; excellent communication, organizational, and interpersonal abilities.
• Solid analytical/problem-solving skills; effective case presentation and collaboration with interdisciplinary teams.
• Ability to conduct in-person visits in the community and use motivational interviewing/influencing techniques to drive engagement and behavior change and member-centered coaching.
• Accurate documentation and regulatory compliance; efficient keyboarding.

Preferred Qualifications

• Managed care/utilization review experience.
• Crisis intervention experience (assessment, de-escalation, safety planning, referral, and follow-up) and knowledge of escalation pathways/community crisis resources.
• Additional experience in care management/discharge planning beyond the minimum requirements.
• Experience working with dual-eligible (Medicare/Medicaid) populations and familiarity with Cook County community resources.
• Bilingual Spanish/English preferred to best serve the Little Village community.

Education

• Licensure/Education (must meet one):
  • Active, unencumbered Illinois BH clinical license - LCSW (Illinois) with a Master’s in Social Work; or
  • Active, unencumbered Illinois BH clinical license - LCPC (Illinois) with a Master’s in Counseling or a closely related behavioral health 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. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• 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.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 04/03/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.