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Remote Behavioral Health Precertification UM Clinician

CVS Health

CVS Health is seeking a Behavioral Health Precertification/UM Clinician for a 100% remote, weekday schedule (12:00 PM – 8:30 PM EST). The role reviews authorization requests, applying evidence-based guidelines to determine medical necessity and appropriate levels of care, with focus on inpatient mental health and substance use programs.

You will document determinations, coordinate with facilities, and support transitions of care while leveraging strong clinical judgment and utilization

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Vacancy posted 4 days ago
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