Remote Behavioral Health Utilization Clinician

CVS Health; Florida; Remote; USD 36,000 - 77,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Job summary

CVS Health is seeking a Behavioral Health Utilization Management Clinician. Remote role preferred for Louisiana, Sunday–Thursday 8:00 AM–5:00 PM CST with some weekends/holidays. Review services, coordinate decisions, provide crisis triage, and support discharge planning to improve member outcomes.

Master’s level clinicians or licensed behavioral health professionals in Louisiana may apply; RN with psychiatric experience also considered. Comprehensive benefits and CVS bonus program available.

Qualifications

• Active, unrestricted Behavioral Health license in Louisiana (LCSW, LCPC, LMFT, LPCC, LPAT, LPC) or
• Active, unrestricted Compact RN license with psychiatric specialty experience
• Master's degree required for independently licensed Behavioral Health clinicians
• EMR documentation experience is preferred

Responsibilities

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

Education

Louisiana Behavioral Health License (LCSW/LCPC/LMFT/LPCC/LPAT/LPC)

Compact RN license with psychiatric specialty

Master's degree for independent Behavioral Health licensure

Bachelor’s Degree in Nursing

Tools

EMR documentation experience

Job description

CVS Health is seeking a Behavioral Health Utilization Management Clinician. Remote role preferred for Louisiana, Sunday–Thursday 8:00 AM–5:00 PM CST with some weekends/holidays. Review services, coordinate decisions, provide crisis triage, and support discharge planning to improve member outcomes.

Master’s level clinicians or licensed behavioral health professionals in Louisiana may apply; RN with psychiatric experience also considered. Comprehensive benefits and CVS bonus program available.