Remote Behavioral Health Utilization Clinician - LA

CVS Health; California; Remote; USD 29,000 - 63,000; Full time

Benefits offered by this job

Remote work

Comprehensive benefits

Bonuses eligible

Job summary

CVS Health is seeking a Behavioral Health Utilization Management Clinician for a remote role with Louisiana preferred. This role supports utilization management, care planning and collaboration to ensure appropriate, evidence-based behavioral health services.

Candidates must hold an active Behavioral Health license or a psychiatric RN license, with 3+ years of clinical experience, EMR documentation skills, and availability Sunday–Thursday 8:00 AM–5:00 PM CST.

Qualifications

• Active, unrestricted Behavioral Health license in the state (Louisiana preferred).
• Active, unrestricted Compact RN license with psychiatric experience.
• 3+ years of behavioral health clinical practice, with relevant settings.
• 1+ year of EMR documentation experience.

Responsibilities

• Review services and treatment plans for medical necessity.
• Apply evidence-based guidelines across levels of care.
• Coordinate utilization 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 programs.
• Promote cost-effective utilization and positive outcomes.
• Collaborate with internal and external stakeholders on care management.

Skills

Behavioral health license

RN license (psychiatric)

EMR documentation

Clinical practice 3+ yrs

Care coordination

Education

Master's degree in Behavioral Health

Nursing degree (BSN) considered

Tools

EMR systems

Job description

CVS Health is seeking a Behavioral Health Utilization Management Clinician for a remote role with Louisiana preferred. This role supports utilization management, care planning and collaboration to ensure appropriate, evidence-based behavioral health services.

Candidates must hold an active Behavioral Health license or a psychiatric RN license, with 3+ years of clinical experience, EMR documentation skills, and availability Sunday–Thursday 8:00 AM–5:00 PM CST.