24/7 Clinical Operations Behavioral Licensed Clinician - Evernorth - Remote
Posted 2025-08-23
Remote, USA
Full Time
Immediate Start
The job profile for this position is Case Management Lead Analyst, which is a Band 3 Senior Contributor Career Track Role.<p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><b>Excited to grow your career?</b></p><p style="text-align:inherit"></p><p style="text-align:left">We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!</p><p style="text-align:inherit"></p><p style="text-align:left">Our people make all the difference in our success.</p><p style="text-align:inherit"></p><div><div><p><b><span>Our mission</span></b><span><span> is to </span><span>provide immediate, personalized clinical support—whether </span><span>it’s</span><span> a moment of crisis, clinical consultation, or a step towards lasting change. Our mission is to be responsive, collaborative, and impactful with each connection.</span></span><span> </span></p></div><p></p><div><p><span><span>As a </span><span>Behavioral Licensed Clinician</span><span> on our </span><span>24/7 Clinical Support Team</span><span>, you will deliver expert, compassionate care across a wide spectrum of behavioral health needs</span><span>.</span><span> This team is designed to ensure continuity—each </span><span>B</span><span>ehavioral Licensed Clinician</span><span> </span><span>remains</span><span> with the customer throughout their journey, becoming </span><span>a </span><span>trusted clinical partner. While every team member supports </span><span>various </span><span>clinical populations and needs, we value and</span><span> will</span><span> </span><span>leverage</span><span> subject matter </span><span>expertise</span><span> in </span><span>the development</span><span> of training, </span><span>curriculum</span><span>, and</span><span> </span><span>clinical </span><span>consultation</span><span>. </span><span>You’ll</span><span> be called on to bring depth </span><span>into</span><span> your area</span><span>s</span><span> of specialization while </span><span>remaining</span><span> flexible and responsive across all cases.</span></span><span> </span></p></div><p></p><div><p><span><span>The successful candidate will have </span><span>demonstrated</span><span> clinical excellence with mental health, substance use disorders, crisis call work, </span><span>and </span><span>case management with a passion to deliver a service experience that exceeds the </span><span>memb</span><span>er</span><span>’s</span><span> or provider’s expectation. The team works in a fast-paced environment, </span><span>on</span><span> a queue, taking </span><span>telephonic</span><span> calls in the moment, balanced with scheduled calendar appointments</span><span>. </span><span>The team </span><span>operates</span><span> 24/7/365 </span><span>in support of the full organization.</span></span><span> </span></p></div><p></p><div><p><b><span>Duties and Responsibilities</span></b><span> </span></p></div><div><ul><li><p><span><span>Serve as a consistent clinical point of contact for each </span><span>memb</span><span>er from first engagement </span><span>through</span><span> every stage of their wellness journey</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Assess </span><span>member</span><span>s’ immediate risk and clinical needs using evidence-based models and </span><span>clinical acumen</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Provide real-time crisis de-escalation, safety planning, and risk management</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Identify</span><span> biopsychosocial needs and collaborate with the </span><span>member</span><span> to </span><span>determine</span><span> solutions and next steps</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Develop SMART goals t</span><span>hat</span><span> empower </span><span>members</span><span> to lead and </span><span>maintain</span><span> a healthy lifestyle</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Assesses readiness to change and implements actions to </span><span>assist</span><span> members in moving through stages of change to reach their goals</span></span><span> </span></p></li></ul></div></div><div><div><ul><li><p><span><span>Sheppard members to </span><span>appropriate clinical care, treatment programs, and community resources</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Incorporate </span><span>a variety of</span><span> </span><span>modalities</span><span> </span><span>to educate</span><span> </span><span>memb</span><span>ers about benefit plans, coverage, and care navigation</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Leveraging </span><span>an evidence</span><span>-based specialized curriculum</span><span> in a </span><span>wide range </span><span>of clinical areas that support our members’ unique needs</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Perform research and provide relevant educational or support resources tailored to the </span><span>memb</span><span>er’s situation</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Partner with internal colleagues to ensure </span><span>timely</span><span> follow-up, case collaboration, and seamless care transitions</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Demonstrate agility in balancing real-time queue work with out-of-queue case management responsibilities</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Exhibit diplomacy, empathy, and professionalism—even in difficult conversations or with resistant participants</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Comply with</span><span> HIPAA and uphold strict confidentiality and compliance standards while </span><span>demonstrating</span><span> sound clinical documentation practices</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Able to manage multiple health records and systems to accurately document customer interactions and progress</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Communicate effectively and succinctly in both verbal and written format</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Perform other related duties incidental to the work described </span><span>herein</span></span><span> </span></p></li></ul></div><div><p><span> </span></p></div><div><p><b><span>Qualifications</span></b><span> </span></p></div><div><ul><li><p><span><span>Master’s degree or PhD in a mental health field (e.g., Social Work, Counseling, Psychology) or RN with psychiatric specialization</span><span>.</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Current independent clinical license (e.g., LCSW, LPC, LMFT, LPCC, PhD, PsyD, PMHNP, or RN with psychiatric focus)</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Minimum 5 years of post-licensure experience as a behavioral health or substance use clinician</span></span></p></li><li><p><span><span>Bilingual in Spanish preferred</span></span></p></li></ul></div><div><ul><li><p><span><span>Demonstrated use of evidence-based approaches, including brief therapy</span><span>, cognitive-behavioral therapy,</span><span> and motivational interviewing</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Experience working in or with managed care environments preferred</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Experience with direct member communication (written and verbal), experience in telephonic counseling/coaching preferred</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Required to obtain AAS Crisis Specialist Certification within the first year of employment </span></span><span> </span></p></li></ul></div></div><div><div><ul><li><p><span><span>EAP (Employee Assistance Program) experience and CEAP certification preferred but not </span><span>required</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Strong clinical acumen, interpersonal communication skills, and comfort working in a dynamic and rapid pace environment</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Proven administrative abilities, with strong computer and software application skills</span></span><span> </span></p></li></ul></div><div><p><span> </span></p></div><div><p><b><span>REQUIRED WORK HOURS: </span></b><span> </span></p></div><div><p><span><span>Full-time</span><span> job with a minimum of forty hours per week. Shift days and times may vary due to business need.</span><span> </span><span>All staff schedules include rotating shifts, weekends</span><span>,</span><span> and holiday time.</span></span><span> </span></p></div></div><div><div><p></p></div></div><p style="text-align:inherit"></p><p style="text-align:inherit"></p>If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.<p style="text-align:inherit"></p><p style="text-align:inherit"></p>For this position, we anticipate offering an annual salary of 65,600 - 109,400 USD / yearly, depending on relevant factors, including experience and geographic location.<p style="text-align:inherit"></p><p style="text-align:left">This role is also anticipated to be eligible to participate in an annual bonus plan.</p><p style="text-align:inherit"></p><p style="text-align:left"><span>We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit </span><span><a href="https://jobs.cigna.com/us/en/life-careers" target="_blank"><span>Life at Cigna</span></a></span><span>.</span></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p>Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.<p style="text-align:left"><span><span><span><span><span><span><span>Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this </span></span></span></span></span></span></span><a target="_blank" href="https://iris.cigna.com/career_benefits/empowered/career_opportunities">link</a><span><span><span><span><span><span><span>.</span></span></span></span></span></span></span></p><p></p><p></p><p><span>Qualified applicants with criminal histories will be considered for employment in a manner </span><span>consistent with all federal, state and local ordinances.</span></p>