Remote Behavioral Health Utilization Clinician

CVS Health; Washington (District of Columbia); Teletrabalho; USD 36 000 - 77 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Remote work flexibility

Medical, dental, vision benefits

Retirement options

Resumo da oferta

CVS Health is seeking a Behavioral Health Utilization Management Clinician for a remote role with Louisiana licensure preferred. The position supports evidence-based behavioral health services and care coordination across teams.

Responsibilities include medical necessity reviews, care planning, crisis intervention as needed, and discharge planning. Excellent communication and EMR experience are required for success in this role.

Qualificações

• Active, unrestricted Behavioral Health license in Louisiana (LCSW, LCPC, LMFT, LPCC, LPAT, LPC) or a Compact RN license with psychiatric experience.
• 3+ years clinical behavioral health practice (hospital, residential, or similar settings).
• 1+ year of EMR documentation experience.

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 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 at-risk members and coordinate referrals to additional programs and services.
• Promote cost-effective, high-quality utilization of behavioral health services.
• Collaborate with internal and external stakeholders to support comprehensive care management.

Conhecimentos

Behavioral health

EMR documentation

Communication

Scheduling flexibility

Formação académica

Master's degree in Behavioral Health (required)

RN with psychiatric specialty (LICENSING)

Ferramentas

EMR systems

Descrição da oferta de emprego

CVS Health is seeking a Behavioral Health Utilization Management Clinician for a remote role with Louisiana licensure preferred. The position supports evidence-based behavioral health services and care coordination across teams.

Responsibilities include medical necessity reviews, care planning, crisis intervention as needed, and discharge planning. Excellent communication and EMR experience are required for success in this role.