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Behavioral Health Clinical Services Manager

2 months ago


Sacramento, California, United States CVS Health Full time
Job Summary

CVS Health is seeking a highly skilled Behavioral Health Utilization Management Clinician to join our team. As a key member of our clinical team, you will play a critical role in ensuring that our members receive high-quality, evidence-based care.

Key Responsibilities
  • Utilize clinical expertise to coordinate, document, and communicate all aspects of the utilization/benefit management program.
  • Apply critical thinking and knowledge of clinically appropriate treatment, evidence-based care, and clinical practice guidelines for Behavioral Health.
  • Collaborate with providers and other parties to facilitate optimal care and treatment.
  • Identify members at risk for poor outcomes and facilitate referral opportunities to integrate with other products, services, and/or programs.
  • Identify opportunities to promote quality effectiveness of healthcare services and benefit utilization.
Requirements
  • Active, current, and unrestricted independent clinical behavioral health license in the state of residence (LPC, LCSW, LMFT, LMHC, etc).
  • 3+ years of behavioral health experience.
  • Ability to talk on the telephone and type at the same time.
  • Ability to work Monday through Friday, 11:30am to 8pm EST.
Preferred Qualifications
  • 3+ years of direct clinical practice experience post-master's degree, including hospital setting or alternative care setting such as ambulatory care or outpatient program.
  • Managed care and utilization review experience.
  • Crisis intervention skills.
Benefits

CVS Health offers a comprehensive benefits package, including medical, dental, and vision benefits, 401(k) retirement savings plan, employee stock purchase plan, term life insurance, short-term and long-term disability benefits, and paid time off.