Remote Behavioral Health Utilization Clinician

CVS Health; Baton Rouge (LA); Teletrabalho; USD 36 000 - 77 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Remote flexibility

Comprehensive benefits

Paid time off

Resumo da oferta

CVS Health is seeking a Behavioral Health Utilization Management Clinician to support members with appropriate, evidence-based behavioral health services. The role emphasizes coordination with care teams, triage and crisis intervention, and discharge planning.

Remote with Louisiana preferred, 40 hours weekly, Monday–Friday or Tuesday–Saturday schedules. Requires active LA behavioral health licensure or psychiatric RN, plus 3+ years of relevant clinical experience and EMR proficiency.

Qualificações

• Active, unrestricted behavioral health license in Louisiana (LCSW/LCPC/LMFT/LPCC/LPAT/LPC) or unrestricted psychiatric RN license.
• 3+ years behavioral health clinical practice experience in settings like psychiatric hospital, residential treatment, or behavioral health programs.
• 1+ year EMR documentation experience.
• Ability to work Monday–Friday 8:00–5:00 CST or Tue–Sat 8:00–5:00 CST, with occasional weekends/holidays.

Responsabilidades

• Review behavioral health services to determine medical necessity and appropriateness of care.
• Apply evidence-based guidelines and clinical best practices across 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 programs and services.
• Promote cost-effective utilization and positive member outcomes.
• Collaborate with internal/external stakeholders to support care management.

Formação académica

Master’s degree (Behavioral Health)

Nursing degree (RN)

Active Behavioral Health license in LA

Descrição da oferta de emprego

CVS Health is seeking a Behavioral Health Utilization Management Clinician to support members with appropriate, evidence-based behavioral health services. The role emphasizes coordination with care teams, triage and crisis intervention, and discharge planning.

Remote with Louisiana preferred, 40 hours weekly, Monday–Friday or Tuesday–Saturday schedules. Requires active LA behavioral health licensure or psychiatric RN, plus 3+ years of relevant clinical experience and EMR proficiency.