CVS Health

Utilization Management Clinical Consultant - Behavioral Health

New

Pay26.01 - 56.14 / hour
LocationBowling Green/Kentucky
Employment typeFull-Time

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  • Job Description

      Req#: R0609610
      Employer Industry: Health Solutions

      Why consider this job opportunity:
      - Salary up to $56.14 per hour
      - Eligible for bonuses, commissions, or short-term incentive programs in addition to base pay
      - Comprehensive benefits package including affordable medical plans, 401(k) with matching contributions, and employee stock purchase plan
      - No-cost wellness programs, confidential counseling, and financial coaching available for all colleagues
      - Opportunity for flexible work schedules and remote work
      - Commitment to fostering a workplace where every colleague feels valued and included

      What to Expect (Job Responsibilities):
      - Utilize clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program
      - Assess appropriateness of treatment plans and apply evidence-based standards and practice guidelines
      - Coordinate, monitor, and evaluate options to facilitate appropriate healthcare services for members
      - Provide triage and crisis support, ensuring effective discharge planning
      - Consult and lend expertise to internal and external constituents in the administration of utilization/benefit management

      What is Required (Qualifications):
      - Kentucky Licensed Independent Behavioral Health Clinician (LPCC, LCSW, LMFT, LPAT) or Active unrestricted Compact Registered Nurse (RN) license with psychiatric specialty or behavioral health experience
      - Minimum of 3 years clinical practice experience in a behavioral health setting
      - At least 1 year of Electronic Medical Record documentation experience
      - Dedicated high-speed internet access
      - Master's degree with a Behavioral Health Clinical License or a Diploma RN/Associate's degree in Nursing

      How to Stand Out (Preferred Qualifications):
      - Residency in Kentucky or bordering counties
      - Experience working with Substance Use Disorder diagnoses
      - Managed care/utilization review experience
      - Medicaid experience
      - Proficiency with MS Office applications, including Teams, Outlook, Word, and Excel

      #HealthSolutions #BehavioralHealth #RemoteWork #CompetitivePay #CareerOpportunity

      We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

      At CVS Health, we share a clear purpose: helping people on their path to better health. Through our health services, plans and community pharmacists, we’re pioneering a bold new approach to total health. Making quality care more affordable, accessible, simple and seamless, to not only help people get well, but help them stay well in body, mind and spirit.

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