Remote Behavioral Health Utilization Clinician

CVS Health Corporation; Louisiana; Hybrid; USD 36,000 - 77,000; Full time

Job summary

CVS Health Corporation is seeking an Utilization Management Clinical Consultant to assess treatment plans and coordinate care across levels of care. You will apply evidence-based guidelines, render coverage determinations, and collaborate with providers to optimize services for members.

The role requires independent Behavioral Health licensure and 3+ years of clinical practice, with EMR documentation experience.

Qualifications

• 3+ years clinical practice experience in behavioral health settings.
• 1+ year Electronic Medical Record documentation experience.
• Strong communication and collaboration skills across teams.

Responsibilities

• Assess appropriate treatment plans across levels of care using evidence-based standards.
• Coordinate, monitor, and evaluate options to facilitate healthcare services/benefits.
• Provide triage and crisis support and render coverage determinations/recommendations.
• Lend expertise to internal and external stakeholders in utilization/benefit management.

Skills

Clinical practice

EMR documentation

Communication skills

Education

Master's degree leading to independent Behavioral Health licensure

Job description

CVS Health Corporation is seeking an Utilization Management Clinical Consultant to assess treatment plans and coordinate care across levels of care. You will apply evidence-based guidelines, render coverage determinations, and collaborate with providers to optimize services for members.

The role requires independent Behavioral Health licensure and 3+ years of clinical practice, with EMR documentation experience.