Behavioral Health Case Manager / Member Navigator

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
A significant portion of behavioral health quality gaps result from barriers that occur after a member leaves a facility or receives a referral, including inability to schedule appointments, transportation challenges, lack of provider understanding, medication barriers, and social determinants impacting treatment engagement.

The Behavioral Health Case Manager / Member Navigator provides direct support to members experiencing behavioral health needs, helping them successfully navigate the healthcare system and remain connected to care.

The position will:

• Conduct outreach to members following behavioral health inpatient admissions and emergency department visits.
• Facilitate timely follow-up appointments.
• Improve member engagement with behavioral health treatment plans.
• Address barriers to accessing care.
• Connect members with community and social support resources.
• Coordinate with providers, care managers, and population health teams.
• Act on ADT notifications and discharge information to intervene quickly during high-risk transition periods.
• Support continuity of care and prevention of avoidable readmissions.

Required Qualifications
Prior clinical and/or managed care experience in the healthcare industry or quality management.

Preferred Qualifications

• Behavioral Health experience
• Case management and discharge planning experience
• Managed Care experience

Education
Bachelors degree

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

Additional details about available benefits are provided during the application process and onBenefits Moments.

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