CVS Health
Utilization Management Clinical Consultant (Remote-Arizona)
This job is now closed
Job Description
- Req#: R0649980
Employer Industry: Healthcare Solutions
Why consider this job opportunity:
- Salary up to $62.32 per hour
- Eligible for bonuses and short-term incentive programs in addition to base pay
- Comprehensive benefits including affordable medical plans, 401(k) with matching contributions, and an employee stock purchase plan
- Flexible work schedules and remote work options
- Supportive team culture with opportunities for collaboration and growth
- Chance to make a meaningful impact on the lives of children and adolescents
What to Expect (Job Responsibilities):
- Review clinical information and apply medical necessity criteria for coverage determinations and discharge planning
- Collaborate with providers and internal teams to ensure timely, appropriate healthcare services
- Provide urgent or emergent interventions, including triage and crisis support
- Identify members for care management programs and facilitate referrals
- Promote quality and cost-effective utilization of healthcare services
What is Required (Qualifications):
- Must reside in the state of Arizona
- Active Arizona licensure as an LCSW, LPC, LMFT, or RN; associate-level licenses may be considered based on relevant experience
- Minimum of 2 years of behavioral health experience
- Master’s degree required for behavioral health clinicians (LCSW, LPC, LMFT); associate’s degree required for RN applicants
How to Stand Out (Preferred Qualifications):
- Experience with Arizona Department of Child Safety (DCS)
- Knowledge of Behavioral Health Outpatient Services
- Utilization Management (UM) experience
#HealthcareSolutions #BehavioralHealth #RemoteWork #CareerOpportunity #ImpactfulWork
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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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