Remote Behavioral Health Utilization Clinician (LA Preferred)

CVS Health; Heber (UT); Remote; USD 36,000 - 77,000; Full time

Job summary

CVS Health is hiring a Behavioral Health Utilization Management Clinician for remote work with Louisiana preferred. You will review services, ensure medical necessity, and coordinate care with providers while supporting crisis and discharge planning.

Sunday–Thursday CST availability is required, with occasional weekends. Qualified candidates hold an active Louisiana Behavioral Health license or psychiatric RN, with 3+ years of practice and EMR experience.

Qualifications

• Active, unrestricted Behavioral Health license in Louisiana (LCSW, LCPC, LMFT, LPCC, LPAT, LPC) or RN with psychiatric specialty experience.
• 3+ years of behavioral health clinical practice experience (e.g., psychiatric hospital, behavioral health treatment settings).
• 1+ year of EMR documentation experience.
• Ability to work Sunday–Thursday, 8:00 AM–5:00 PM CST, with occasional weekends/holidays.
• Managed Care/Utilization Review/Utilization Management experience.
• Behavioral health inpatient experience.

Responsibilities

• Review behavioral health services and treatment plans to determine medical necessity and appropriateness of care.
• Coordinate and communicate utilization management decisions with providers and care teams.
• Provide triage support and crisis intervention as needed.
• Facilitate effective 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.

Skills

Behavioral Health license (LA)

RN with psychiatric specialty

EMR documentation

Utilization Management experience

Behavioral health inpatient experience

Multi-system navigation

Schedule: Sun-Thu CST

Education

Master's degree in Behavioral Health

Job description

CVS Health is hiring a Behavioral Health Utilization Management Clinician for remote work with Louisiana preferred. You will review services, ensure medical necessity, and coordinate care with providers while supporting crisis and discharge planning.

Sunday–Thursday CST availability is required, with occasional weekends. Qualified candidates hold an active Louisiana Behavioral Health license or psychiatric RN, with 3+ years of practice and EMR experience.