Utilization Management Clinical Consultant (Tuesday - Saturday)

Clinical Careers Page(1 month ago)

RemoteFull TimeMedior$52,020 - $112,280Behavioral Health

About this role

A licensed behavioral health clinician or registered nurse position on CVS Health’s utilization/benefit management team supporting behavioral health programs. The role focuses on applying clinical guidelines to support coverage determinations, care coordination, and member engagement within a managed-care environment. This is a full-time role with a Tuesday–Saturday schedule and remote work expectations, requiring state licensure and EMR experience.

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Required Skills

Utilization Management
Clinical Assessment
Crisis Support
Discharge Planning
Care Coordination
EMR Documentation
Evidence-Based
Triage
Clinical Judgment
Provider Coordination

Qualifications

Master's Degree
LCSW
LPCC
LMFT
LPAT
LP
Bachelor's Degree
Registered Nurse (RN)
Unrestricted State License

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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