Utilization Management Clinical Consultant (Sunday Thursday)

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.

Behavioral Health Utilization Management Clinician

Remote | Louisiana Preferred | Sunday - Thursday Schedule

Are you a licensed Behavioral Health professional or Psychiatric RN looking to make a meaningful impact on members' mental health outcomes? Join our Utilization Management team and play a critical role in ensuring members receive appropriate, evidence-based behavioral health services while supporting quality care and effective treatment planning.

What You'll Do

Review behavioral health services and treatment plans to determine medical necessity and appropriateness of care

Apply evidence-based guidelines and clinical best practices across multiple levels of care

Coordinate and communicate utilization management decisions with providers and care teams

Provide triage support and crisis intervention as needed

Facilitate effective discharge planning and transitions of care

Identify members at risk for poor outcomes and coordinate referrals to additional programs and services

Promote quality, cost-effective healthcare utilization and positive member outcomes

Collaborate with internal and external stakeholders to support comprehensive care management

WHAT YOU BRING – REQUIRED

Active, unrestricted independent Behavioral Health license in Louisiana ( LCSW, LCPC, LMFT, LPCC, LPAT, LPC ) or

Active, unrestricted Compact RN license with psychiatric specialty experience

3+ years of behavioral health clinical practice experience, such as:

Psychiatric hospital

Residential treatment

Behavioral health treatment settings

1+ year of Electronic Medical Record (EMR) documentation experience

Ability to work Sunday - Thursday, 8:00 AM – 5:00 PM Central Standard Time (CST), with flexibility for occasional weekends and holidays

Preferred Qualifications

Louisiana residency strongly preferred

Managed Care, Utilization Review, or Utilization Management experience

Behavioral health inpatient experience

Licensed Addiction Counselor (LAC) certification

Strong multitasking, prioritization, and organizational skills

Proficiency navigating multiple systems and applications in a fast-paced environment

Education

Master's degree required for independently licensed Behavioral Health clinicians

Registered Nurse with psychiatric specialty experience and unrestricted nursing license also considered (Bachelor’s Degree in Nursing)

Why Join Us?

Opportunity to improve behavioral health outcomes for members across the continuum of care

Collaborative environment with providers, care managers, and clinical experts

Apply your clinical expertise in a meaningful, non-traditional care setting

Influence quality, access, and effectiveness of behavioral health services

Remote flexibility with a supportive team culture

If you're passionate about behavioral health, utilization management, and helping members access the right level of care at the right time, we'd love to hear from you. Apply today!

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$26.01 - $56.14

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

• This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
• Additional details about available benefits are provided during the application process and on Benefits Moments .

We anticipate the application window for this opening will close on: 10/24/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.