Behavioral Health Utilization Management Clinician - Registered Nurse or Behavioral Health Clinician

Clinical Careers Page(25 days ago)

RemoteFull TimeSenior$60,522 - $129,615Behavioral Health

About this role

A clinical utilization/benefit management clinician focused on behavioral health and related medical conditions, working within CVS Health to support care coordination and review processes. The role centers on applying clinical judgment and evidence-based practice to support utilization review and authorization decisions for commercial plans.

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Required Skills

Utilization Management
Clinical Documentation
Critical Thinking
Evidence Based
Behavioral Health
Provider Collaboration
Crisis Intervention
Managed Care
Computer Skills

Qualifications

Master's Degree in Behavioral/Mental Health
Associate Degree
Registered Nurse (RN)
Compact RN
Independent Behavioral Health License
California License (Preferred)

About Clinical Careers Page

cvshealth.com

CVS Health is America's leading health solutions company, providing integrated services across retail pharmacy (CVS Pharmacy), pharmacy benefits management (CVS Caremark), and health insurance (Aetna). The company offers pharmacy services, health plans, clinical care (including MinuteClinic), and health-and-wellness programs for consumers, employers, and government payers. By combining a large national retail footprint with claims processing, care management, and clinical services, CVS Health aims to coordinate care, lower costs, and improve health outcomes. Businesses and consumers use its solutions for medication management, plan administration, and in-person and virtual care.

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