Remote Behavioral Health Utilization Specialist

CVS Health Corporation; Louisiana (MO); Hybrid; USD 36,000 - 77,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Eligibility-based resources

Job summary

CVS Health Corporation seeks a Behavioral Health Utilization Management Clinician. This remote role prefers Louisiana residency and requires Sunday–Thursday, 8:00 AM–5:00 PM CST. You will review treatment plans, apply guidelines, coordinate with teams, and support crisis intervention and transitions of care.

Ideal candidates hold a LA behavioral health license or psychiatric RN with EMR experience and 3+ years in behavioral health settings, with strong collaboration skills across care teams.

Qualifications

• Active, unrestricted behavioral health license (Louisiana) or an unrestricted RN license with psychiatry experience.
• 3+ years clinical behavioral health practice in settings such as psychiatric hospital or residential treatment.
• 1+ year EMR documentation experience and ability to work a Sunday–Thursday schedule.

Responsibilities

• Review behavioral health services and treatment plans for medical necessity.
• Apply evidence-based guidelines across levels of care and coordinate with care teams.
• Provide crisis triage and assist with discharge planning and transitions of care.
• Identify at-risk members and coordinate referrals to programs and services.
• Collaborate with internal/external stakeholders to support care management.

Skills

Behavioral Health License (LA)

Compact RN license (psych)

EMR documentation experience

3+ years clinical practice

Sunday-Thursday CST availability

Education

Master's degree in Behavioral Health

Bachelor's Degree in Nursing

Job description

CVS Health Corporation seeks a Behavioral Health Utilization Management Clinician. This remote role prefers Louisiana residency and requires Sunday–Thursday, 8:00 AM–5:00 PM CST. You will review treatment plans, apply guidelines, coordinate with teams, and support crisis intervention and transitions of care.

Ideal candidates hold a LA behavioral health license or psychiatric RN with EMR experience and 3+ years in behavioral health settings, with strong collaboration skills across care teams.