Utilization Management – Registered Nurse or Behavioral Health Clinician - After Hours

Clinical Careers Page(6 days ago)

RemoteFull TimeSenior$54,095 - $116,760Behavioral Health/Utilization Management

About this role

This role involves utilizing clinical skills to coordinate, document, and communicate aspects of the utilization and benefit management program for preauthorization of mental health services. It requires applying clinical knowledge, critical thinking, and adherence to care guidelines in a call center setting to support behavioral health and medical services.

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Required Skills

clinical Skills
Behavioral Health
Utilization Management
Mental Health
Evidence-Based Care
Call Center
Documentation
Critical Thinking
Treatment Guidelines
Communication

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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