Job Description
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 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: 05/04/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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 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: 05/04/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
💡 Quick Summary
Seeking a career-building opportunity? The Clinical Case Manager Behavioral Health - Field - Must reside in Cook County Illinois position is now open for candidates interested in the Health Jobs sector. This role in Chicago offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Health Jobs is a plus.
