Remote Behavioral Health Utilization Clinician

CVS Health; Iowa Center (IA); A distancia; USD 36.000 - 77.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Remote flexibility

Descripción de la vacante

CVS Health is seeking a Behavioral Health Utilization Management Clinician for a remote role with a Louisiana preference. You will review services, apply guidelines, and coordinate decisions with care teams to ensure appropriate, evidence-based behavioral health care.

The role requires an active Behavioral Health license (Louisiana or Compact RN with psychiatric experience) and 3+ years of clinical practice, plus 1+ year EMR documentation. Weekend/holiday flexibility and CST hours are expected.

Formación

• Active, unrestricted Behavioral Health license in Louisiana (LCSW, LCPC, LMFT, LPCC, LPAT, LPC)
• Active, unrestricted Compact RN license with psychiatric specialty experience
• 3+ years of behavioral health clinical practice experience in settings such as psychiatric hospitals or residential treatment
• 1+ year of Electronic Medical Record (EMR) documentation experience
• Ability to work Sunday–Thursday, 8:00 AM–5:00 PM CST, with occasional weekends/holidays

Responsabilidades

• Review behavioral health services and treatment plans to determine medical necessity and appropriateness of care
• Apply evidence-based guidelines and clinical best practices across multiple levels of care
• Coordinate and communicate utilization management decisions with providers and care teams
• Provide triage support and crisis intervention as needed
• Facilitate discharge planning and transitions of care
• Identify members at risk and coordinate referrals to programs and services
• Promote cost-effective healthcare utilization and positive member outcomes
• Collaborate with internal and external stakeholders to support comprehensive care management

Conocimientos

Behavioral Health license

Clinical experience 3+ years

EMR documentation

Availability Sun-Thu 8:00–5:00 CST

Educación

Master's degree required for independently licensed Behavioral Health clinicians

RN with psychiatric specialty (Bachelors in Nursing considered)

Descripción del empleo

CVS Health is seeking a Behavioral Health Utilization Management Clinician for a remote role with a Louisiana preference. You will review services, apply guidelines, and coordinate decisions with care teams to ensure appropriate, evidence-based behavioral health care.

The role requires an active Behavioral Health license (Louisiana or Compact RN with psychiatric experience) and 3+ years of clinical practice, plus 1+ year EMR documentation. Weekend/holiday flexibility and CST hours are expected.