Remote Behavioral Health UM Clinician (LA)

CVS Health; Clayton (NC); À distance; USD 36 000 - 77 000; Plein temps

Avantages offerts par ce poste

Comprehensive benefits package

Résumé du poste

CVS Health is seeking a Behavioral Health Utilization Management Clinician to support members' mental health outcomes. Remote role with Sunday-Thursday CST schedule and Louisiana licensure preferred.

You will review services, coordinate with care teams, and support discharge planning. Requirements include an active Louisiana Behavioral Health license or psychiatric RN license, 3+ years of clinical practice, EMR experience, and Utilization Management background.

Qualifications

• Active Louisiana Behavioral Health license or an unrestricted Compact RN license with psychiatric experience.
• 3+ years of behavioral health clinical practice experience.
• EMR documentation experience (1+ year).
• Ability to work Sunday-Thursday, CST hours, with occasional weekends/holidays.
• Managed Care or Utilization Management experience.
• Master's degree required for independently licensed clinicians.

Responsabilités

• Review behavioral health services to determine medical necessity and appropriateness of care.
• Coordinate utilization management decisions with providers and care teams.
• Provide triage support and crisis intervention as needed.
• Facilitate discharge planning and transitions of care.
• Identify at-risk members and coordinate referrals to programs and services.
• Promote cost-effective utilization and positive member outcomes.
• Collaborate with internal and external stakeholders to support care management.

Connaissances

Behavioral Health license (Louisiana)

RN licensed (psychiatric)

EMR documentation

Utilization Management experience

Discharge planning

Care coordination

Multisystem navigation

Formation

Master's degree in Behavioral Health

Description du poste

CVS Health is seeking a Behavioral Health Utilization Management Clinician to support members' mental health outcomes. Remote role with Sunday-Thursday CST schedule and Louisiana licensure preferred.

You will review services, coordinate with care teams, and support discharge planning. Requirements include an active Louisiana Behavioral Health license or psychiatric RN license, 3+ years of clinical practice, EMR experience, and Utilization Management background.