Remote Behavioral Health Utilization Clinician

CVS Health; Hydaburg (AK); Remote; USD 36,000 - 77,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Paid time off

Job summary

CVS Health is hiring a Behavioral Health Utilization Management Clinician for a remote-friendly role with a Louisiana preference. The position focuses on ensuring appropriate, evidence-based behavioral health services and supporting care planning.

Requirements include an active behavioral health license in Louisiana or a psychiatric RN with relevant experience, 3+ years of clinical practice, and EMR documentation skills. Weekend/holiday flexibility is expected.

Qualifications

• Active Louisiana Behavioral Health license (LCSW/LCPC/LMFT/LPCC/LPAT/LPC) or compact RN with psych specialty
• 3+ years of behavioral health clinical practice
• EMR documentation experience (1+ year)
• Availability Sunday-Thursday 8:00–17:00 CST with possible weekends/holidays
• Managed Care/Utilization Review experience
• Behavioral health inpatient experience

Responsibilities

• 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
• Promote cost-effective healthcare utilization and positive outcomes
• Collaborate with stakeholders to support comprehensive care management

Skills

Behavioral health

Crisis intervention

Utilization management

Care coordination

Communication

Education

Master's degree

Tools

EMR experience

Job description

CVS Health is hiring a Behavioral Health Utilization Management Clinician for a remote-friendly role with a Louisiana preference. The position focuses on ensuring appropriate, evidence-based behavioral health services and supporting care planning.

Requirements include an active behavioral health license in Louisiana or a psychiatric RN with relevant experience, 3+ years of clinical practice, and EMR documentation skills. Weekend/holiday flexibility is expected.