Business Consultant
OneDigital
Behavioral Health Utilization Management Clinical Consultant
CVS Health
full-time
Posted on:
Location Type: Remote
Location: Remote • Oklahoma • 🇺🇸 United States
Visit company websiteSalary
💰 $26 - $56 per hour
Job Level
Mid-LevelSenior
About the role
- Evaluate treatment plans using clinical judgment and evidence-based standards
- Coordinate and monitor healthcare services to ensure optimal benefit utilization
- Provide triage and crisis support for members in need
- Facilitate effective discharge planning and care transitions
- Collaborate with providers and internal teams to support integrated care
- Identify at-risk members and connect them with appropriate resources
- Promote quality and cost-effective care through clinical consultation and review
Requirements
- Active licensure as LCSW, LCPC, or RN
- Experience in a psychiatric or behavioral health setting required
- Strong knowledge of clinical practice guidelines and utilization management
- Unrestricted OK state independent Behavioral Health clinician license or a Registered Nurse (RN) with psychiatric specialty, certification, or Behavioral Health experience
- 3+ years clinical practice experience, e.g., psychiatric hospital, residential or behavioral health treatment setting
- 1+ year Electronic Medical Record documentation experience
- Must have reliable High Speed internet access
- Schedule is Monday-Friday with flexibility for business needs, including occasional rotating weekend and holiday schedules
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for wellness screenings, tobacco cessation, and weight management
- Confidential counseling and financial coaching
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access
- Other benefits depending on eligibility
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
clinical judgmentevidence-based standardsutilization managementElectronic Medical Record documentationpsychiatric specialtybehavioral health experience
Soft skills
coordinationmonitoringcrisis supportdischarge planningcollaborationresource identificationquality promotioncost-effective care
Certifications
LCSWLCPCRN
