Remote Behavioral Health Utilization Clinician

CVS Health

Alaska

Remote

USD 36,000 - 77,000

Full time

10 days ago

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Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Other resources, based on eligibility

Job summary

CVS Health is seeking a Behavioral Health Utilization Management Clinician for a remote role with a Louisiana preference. The position supports evidence-based care, care coordination, and discharge planning.

You will review plans, communicate decisions, and help ensure appropriate utilization across care settings. Qualified candidates hold a current behavioral health license in Louisiana or an unrestricted psychiatric RN license, with 3+ years of clinical experience and at least 1 year in EMR

Qualifications

Active, unrestricted Behavioral Health license in Louisiana or an RN license with psychiatry experience.
Master's degree required for independently licensed clinicians.
3+ years of behavioral health clinical practice experience.
1+ year of EMR documentation experience.
Sunday-Thursday 8:00 AM–5:00 PM CST with occasional weekends/holidays.
Ability to navigate multiple systems in a fast-paced environment.

Responsibilities

Review behavioral health services to determine medical necessity and appropriateness of care.
Coordinate utilization 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.
Support quality, cost-effective utilization and outcomes.
Collaborate with stakeholders to support comprehensive care management.