Remote Behavioral Health Utilization Clinician

CVS Health; Arizona; Remoto; USD 36.000 - 77.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Remote flexibility

Descrizione del lavoro

CVS Health is seeking a licensed Behavioral Health Utilization Management clinician to ensure evidence-based services and appropriate treatment planning for members across the care continuum. This remote role prioritizes quality and cost-effective care while coordinating with providers and care teams.

The ideal candidate will hold an unrestricted Behavioral Health license in Louisiana (LCSW, LCPC, LMFT, LPCC, LPAT, LPC) or a compact RN with psychiatric specialty, with 3+ years of behavioral

Competenze

• Active, unrestricted behavioral health licensure in Louisiana (LCSW/LCPC/LMFT/LPCC/LPAT/LPC) or compact RN with psychiatric specialty.
• 3+ years of behavioral health clinical practice; e.g., psychiatric hospital, residential treatment, or behavioral health settings.
• 1+ year of EMR documentation experience.
• Sunday-Thursday schedule with CST hours and occasional weekends/holidays.

Mansioni

• Review behavioral health services to determine medical necessity and appropriateness of care.
• Apply evidence-based guidelines across multiple levels 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 additional programs.
• Support quality and cost-effective utilization and outcomes.
• Collaborate with internal/external stakeholders for comprehensive care.

Conoscenze

Behavioral health licensure

Nursing license (psychiatric)

EMR documentation

Weekend/holiday flexibility

Formazione

Master's degree in Behavioral Health

RN with psychiatric specialty (BSN)

Strumenti

EMR systems

Descrizione del lavoro

CVS Health is seeking a licensed Behavioral Health Utilization Management clinician to ensure evidence-based services and appropriate treatment planning for members across the care continuum. This remote role prioritizes quality and cost-effective care while coordinating with providers and care teams.

The ideal candidate will hold an unrestricted Behavioral Health license in Louisiana (LCSW, LCPC, LMFT, LPCC, LPAT, LPC) or a compact RN with psychiatric specialty, with 3+ years of behavioral