Remote Behavioral Health Utilization Clinician
CVS Health
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Benefits offered by this job
Job summary
CVS Health is seeking a Behavioral Health Utilization Management Clinician for a remote role with a Louisiana preference and Sunday–Thursday, 8:00 AM–5:00 PM CST schedule. You will review treatment plans, apply guidelines, coordinate with care teams, and support discharge planning to ensure appropriate, evidence-based behavioral health services.
Qualifications include an active Behavioral Health license in Louisiana, a psychiatric RN license, 3+ years of experience, and 1+ year of EMR
Qualifications
- Active, unrestricted Behavioral Health license in Louisiana (LCSW, LCPC, LMFT, LPCC, LPAT, LPC)
- Active, unrestricted Compact RN license with psychiatric experience
- 3+ years behavioral health clinical practice
- 1+ year EMR documentation experience
- Ability to work Sunday–Thursday, 8:00 AM–5:00 PM CST
Responsibilities
- Review behavioral health services and treatment plans for medical necessity
- Apply evidence-based guidelines across levels 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 care and positive outcomes
- Collaborate with stakeholders to support care management
Skills
Education
Job description
CVS Health is seeking a Behavioral Health Utilization Management Clinician for a remote role with a Louisiana preference and Sunday–Thursday, 8:00 AM–5:00 PM CST schedule. You will review treatment plans, apply guidelines, coordinate with care teams, and support discharge planning to ensure appropriate, evidence-based behavioral health services.
Qualifications include an active Behavioral Health license in Louisiana, a psychiatric RN license, 3+ years of experience, and 1+ year of EMR
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