Behavioral Health Utilization & Care Coordination Consultant

4062 Aetna Resources, LLC; Louisiana; Hybrid; USD 36,000 - 77,000; Full time

Benefits offered by this job

Comprehensive benefits

Bonus eligibility

Paid time off

Retirement savings options

Job summary

CVS Health is seeking a full-time Behavioral Health Utilization Clinician in Louisiana. You will coordinate and document utilization/benefit management, apply evidence-based guidelines, and collaborate with providers to ensure appropriate care.

The role requires a licensed behavioral health clinician or an RN with psychiatric specialty, with 3 years clinical practice and 1 year EMR experience. 40-hour work week, CST schedule, plus potential flexibility.

Qualifications

• Licensed independent Behavioral Health clinician in Louisiana or RN with psychiatric specialty.
• 3 years clinical practice in behavioral health settings.
• 1 year EMR documentation experience.

Responsibilities

• Coordinate, document and communicate utilization/benefit management activities.
• Assess treatment plan appropriateness across levels of care using guidelines.
• Coordinate with providers to facilitate optimal care and services.
• Provide triage and crisis support.
• Apply clinical criteria to render coverage recommendations.
• Identify at-risk members and promote referrals to programs.

Skills

Clinical coordination

Critical thinking

Multi-tasking

Collaboration

Education

Master's level licensure

Tools

Electronic Medical Records (EMR)

Job description

CVS Health is seeking a full-time Behavioral Health Utilization Clinician in Louisiana. You will coordinate and document utilization/benefit management, apply evidence-based guidelines, and collaborate with providers to ensure appropriate care.

The role requires a licensed behavioral health clinician or an RN with psychiatric specialty, with 3 years clinical practice and 1 year EMR experience. 40-hour work week, CST schedule, plus potential flexibility.