Remote Behavioral Health Utilization Clinician

CVS Health; Nebraska; Remote; USD 54,000 - 117,000; Full time

Benefits offered by this job

Remote flexibility

Comprehensive benefits

Job summary

CVS Health is seeking a Behavioral Health Utilization Management Clinician to join our remote team. This role supports members' mental health outcomes by evaluating services for medical necessity, applying evidence-based guidelines, and coordinating care with providers and care teams.

The position emphasizes crisis intervention, discharge planning, and collaboration across departments. Ideal candidates will have an active behavioral health license (Louisiana preferred) or a psychiatric RN with

Qualifications

• Licensed behavioral health professional with active, unrestricted license (Louisiana or compact RN with psych experience).
• 3+ years behavioral health clinical practice in hospital, residential, or related settings.
• 1+ year EMR documentation experience.

Responsibilities

• Review behavioral health services and treatment plans for medical necessity.
• Apply guidelines and best practices across levels of care.
• Coordinate utilization management decisions with providers and care teams.
• Provide triage support and crisis intervention as needed.
• Discharge planning and transitions of care.

Skills

Clinical expertise

Crisis intervention

Team communication

EMR documentation

Scheduling flexibility

Education

Master's degree

RN with psych specialty

Tools

EMR systems

Job description

CVS Health is seeking a Behavioral Health Utilization Management Clinician to join our remote team. This role supports members' mental health outcomes by evaluating services for medical necessity, applying evidence-based guidelines, and coordinating care with providers and care teams.

The position emphasizes crisis intervention, discharge planning, and collaboration across departments. Ideal candidates will have an active behavioral health license (Louisiana preferred) or a psychiatric RN with