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

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Applies critical thinking and is knowledgeable in clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus. Concurrent Medical Reviews for Commercial Plans. Collaborating with facilities and providers to document and review for extended stay request. Required Qualifications Licensed Registered Nurse (Compact RN a Plus) with 3 or more years of Behavioral Health Clinical Experience. Independently licensed behavioral health clinician in state of residence. 3+ years post degree experience in a psychiatric or substance abuse setting required 3 years of direct clinical practice experience post masters degree, e.g., hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility. Preferred Qualifications 3 years Managed care/utilization review experience preferred. Crisis intervention skills and experience preferred Proficiency with computer and technology skills which includes navigating multiple systems and keyboarding. California license or ability to obtain California license preferred Education : Master's degree in Behavioral/Mental health or Human Service/Health Services Associates degree with a Registered Nurse Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $60,522.00 - $129,615.00 This pay range represents ...