Behavioral Health Utilization Clinician

CVS Health; Baton Rouge (LA); Presencial; USD 36.000 - 77.000; Tempo integral

Resumo da vaga

CVS Health in Baton Rouge, LA seeks a licensed Behavioral Health clinician or RN with psychiatric specialty to join its utilization/benefit management team. This full-time role coordinates clinical care, reviews treatment plans, and ensures appropriate services for members, including crisis triage and cross‑functional collaboration with providers.

The ideal candidate has 3+ years in behavioral health settings, EMR experience, and is available for standard CST hours with occasional

Qualificações

• Licensed independent Behavioral Health clinician in Louisiana or an RN with unrestricted compact state license with psychiatric specialty experience.
• 3 years clinical practice experience in behavioral health settings.
• 1 year Electronic Medical Record documentation experience.
• Monday–Friday 8:00 AM–5:00 PM CST with potential weekend/holiday flexibility.

Responsabilidades

• Coordinate utilization/benefit management program activities.
• Assess appropriateness of treatment plans across levels of care using guidelines.
• Collaborate with providers to facilitate appropriate care and services.
• Provide triage and crisis support for members.
• Gather clinical information to render coverage determinations across the care continuum.

Conhecimentos

Clinical coordination

Documentation

Crisis triage

Communication

Formação

Master's degree in Behavioral Health licensure or RN with psychiatric specialty

Ferramentas

EMR systems

Descrição da vaga

CVS Health in Baton Rouge, LA seeks a licensed Behavioral Health clinician or RN with psychiatric specialty to join its utilization/benefit management team. This full-time role coordinates clinical care, reviews treatment plans, and ensures appropriate services for members, including crisis triage and cross‑functional collaboration with providers.

The ideal candidate has 3+ years in behavioral health settings, EMR experience, and is available for standard CST hours with occasional