Clinical Team Lead (Behavioral Health)

CVS Health; United States; Remote; USD 66,000 - 143,000; Full time

Job summary

CVS Health is seeking a Team Lead focused on behavioral health appeals workflows, requiring proven leadership experience and a Registered Nurse license. This role involves training new staff, managing workflows, and supporting clinical inquiries, directly contributing to the efficiency of the department.

Benefits

Affordable medical plan options

401(k) plan with matching contributions

Employee stock purchase plan

No-cost wellness programs

Flexible work schedules

Tuition assistance

Qualifications

• Registered Nurse with active license in good standing.
• 3+ years of experience in behavioral health.
• Proficiency in interpreting behavioral health clinical criteria.

Responsibilities

• Training, mentoring, and onboarding new staff.
• Managing behavioral health workflows and appeals.
• Facilitating communication and updates to leadership.

Skills

Leadership

Communication

Time Management

Organization

Education

Registered Nurse (RN) license

Experience with behavioral health clinical criteria (LOCUS, CALOCUS, ASAM)

3+ years of behavioral health clinical experience

Job description

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary
The Team Lead position requires a solid understanding of behavioral health appeals workflows, policies and procedures. The Team Lead is responsible for training, mentoring, and onboarding new staff, is the SME and first line contact for clinical questions from the team, supports the expedited appeals process, is responsible for behavioral health workflow management, and may have responsibility for their own case load depending on inventory/department needs. The Team Lead may lead projects, support the Associate Manager as needed, is able to prioritize multiple tasks simultaneously, and may be required to cross-train to learn various types of appeals processes. This role is responsible for providing ongoing communication and updates to leadership, and contributes to, and participates in team meetings. The role promotes cooperation and team building between all department members.

Required Qualifications
Registered Nurse (RN), active license in good standing

Proficiency with computer, navigating multiple systems

Experience with application and interpretation of behavioral health clinical criteria (LOCUS, CALOCUS, ASAM)

3+ years of behavioral health clinical experience

Proven track record of mentoring, training, leadership

Preferred Qualifications

Licensed Mental Health Counselor (LMHC)

Licensed Clinical Professional Counselor (LCPC)

Licensed Professional Counselor (LPC)

Licensed Clinical Social Worker (LCSW)Managed care experience

Appeals experience

Utilization management experience

Exceptional communication skills

Effective time management skills

Highly organized, ability to multi-task

Education
Refer to required/preferred qualifications

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$66,575.00 - $142,576.00

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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visithttps://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 06/30/2025

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