MEDICARE BEHAVIORAL HEALTH OUTPATIENT UTILIZATION MANAGEMENT CLINICIAN (BILINGUAL - SPANISH)
Company: CVS Health
Location: Tallahassee
Posted on: September 19, 2024
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Job Description:
Bring your heart to CVS Health. Every one of us at CVS Health
shares a single, clear purpose: Bringing our heart to every moment
of your health. This purpose guides our commitment to deliver
enhanced human-centric health care for a rapidly changing world.
Anchored in our brand - with heart at its center - our purpose
sends a personal message that how we deliver our services is just
as important as what we deliver.Our Heart At Work Behaviors---
support this purpose. We want everyone who works at CVS Health to
feel empowered by the role they play in transforming our culture
and accelerating our ability to innovate and deliver solutions to
make health care more personal, convenient and affordable.This is a
full-time telework position.Hours for this role are Monday-Friday
8:30a-5:00p EST.Position SummaryThe Medicare Behavioral Health
Outpatient clinician will be part of the Medicare precertification
team. Members of this team will utilize their clinical experience
to assess appropriateness of treatment plans for member accessing
outpatient services. This team will gather clinical information and
apply appropriate clinical judgment to render coverage
determination/recommendation that are in line with evidence-based
standards and practice guidelines. The UM clinician will work in
conjunction with the Clinical Supervisor and Medical Directors to
facilitate optimal care/treatment.Required Qualifications - 1+
year(s) experience working in community based mental health service
like Targeted Care Management, Psychosocial Rehabilitation, or
related utilization management experience with these services -
Must have active and unrestricted independent Master's level
Behavioral Health clinical license in the state of residence (LMSW,
LCSW, LISW, LPC, or comparable) OR active and unrestricted
Registered Nurse licensure with psychiatric specialty/certification
in state of residence - Must be willing and able to work 8:30a-5p
EST - Bilingual English/SpanishPreferred Qualifications - Knowledge
of Milliman Care Guidelines (MCG)Education - Minimum of a Master's
degree Behavioral /mental health services OR RN degree or diploma
with behavioral health experiencePay RangeThe typical pay range for
this role is:$54,095.60 - $116,800.00This 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.In addition to your compensation, enjoy the rewards of
an organization that puts our heart into caring for our colleagues
and our communities. The Company offers a full range of medical,
dental, and vision benefits. Eligible employees may enroll in the
Company's 401(k) retirement savings plan, and an Employee Stock
Purchase Plan is also available for eligible employees. The Company
provides a fully-paid term life insurance plan to eligible
employees, and short-term and long term disability benefits. CVS
Health also offers numerous well-being programs, education
assistance, free development courses, a CVS store discount, and
discount programs with participating partners. As for time off,
Company employees enjoy Paid Time Off ("PTO") or vacation pay, as
well as paid holidays throughout the calendar year. Number of paid
holidays, sick time and other time off are provided consistent with
relevant state law and Company policies.For more detailed
information on available benefits, please visit
jobs.CVSHealth.com/benefitsWe anticipate the application window for
this opening will close on: 09/27/2024Qualified applicants with
arrest or conviction records will be considered for employment in
accordance with all federal, state and local laws.We are an equal
opportunity and affirmative action employer. We do not discriminate
in recruiting, hiring, promotion, or any other personnel action
based on race, ethnicity, color, national origin, sex/gender,
sexual orientation, gender identity or expression, religion, age,
disability, protected veteran status, or any other characteristic
protected by applicable federal, state, or local law.
Keywords: CVS Health, Dothan , MEDICARE BEHAVIORAL HEALTH OUTPATIENT UTILIZATION MANAGEMENT CLINICIAN (BILINGUAL - SPANISH), Executive , Tallahassee, Alabama
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