Remote Behavioral Health Utilization Clinician

CVS Health; Vermont; Remote; USD 36,000 - 77,000; Full time

Benefits offered by this job

Remote work flexibility

Comprehensive benefits

Job summary

CVS Health is seeking a Behavioral Health Utilization Management Clinician for a remote role with a Louisiana-friendly schedule. The position supports utilization management, care coordination, and evidence-based practices to improve member outcomes.

Requires an active Behavioral Health license in Louisiana or a Compact RN with psychiatric experience, plus 3+ years in the field. The role offers full-time hours, potential weekend/holiday coverage, and a comprehensive benefits program, with pay

Qualifications

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

Responsibilities

• 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 additional programs and services
• Promote quality, cost-effective healthcare utilization and positive member outcomes
• Collaborate with internal and external stakeholders to support comprehensive care management

Job description

CVS Health is seeking a Behavioral Health Utilization Management Clinician for a remote role with a Louisiana-friendly schedule. The position supports utilization management, care coordination, and evidence-based practices to improve member outcomes.

Requires an active Behavioral Health license in Louisiana or a Compact RN with psychiatric experience, plus 3+ years in the field. The role offers full-time hours, potential weekend/holiday coverage, and a comprehensive benefits program, with pay