Position SummaryA 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 QualificationsPrior 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
EducationBachelors degree
Anticipated Weekly Hours40
Time TypeFull time
Pay RangeThe typical pay range for this role is:
$54,095.00 - $116,760.00
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.
Great benefits for great peopleWe take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 11/01/2026
