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Remote Behavioral Health UM Nurse Consultant, FL

Develop strategies to integrate referral opportunities for members at risk into other healthcare programs.
Various
Senior
$26.01-$56.13 USD per hour
1 week ago
CVS Health

CVS Health

Enabling a more transparent, simple health care system

✨ About The Role

- The position involves utilizing clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program - Requires applying critical thinking and knowledge in clinically appropriate treatment, evidence-based care, and clinical practice guidelines for Behavioral Health and/or medical conditions - Responsibilities include coordinating, monitoring, and evaluating options to facilitate appropriate healthcare services/benefits for members - Involves providing triage and crisis support, as well as identifying members at risk for poor outcomes and facilitating referral opportunities - The role also includes promoting quality effectiveness of healthcare services and benefit utilization

⚡ Requirements

- Registered Nurse (RN) with psychiatric specialty, certification, or experience - Must have 3+ years of clinical practice experience in a psychiatric hospital, residential, or behavioral health treatment setting - Ability to multitask, prioritize, and effectively adapt to a fast-paced changing environment - Proficiency with computer skills including navigating multiple systems and keyboarding - Experience in managed care/utilization review is preferred
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Remote Behavioral Health UM Nurse Consultant, FL
Various
$26.01-$56.13 USD per hour
Remote
About CVS Health
Enabling a more transparent, simple health care system