Remote Behavioral Health UM Clinician (Weekend/Nights)

CVS Health; Yorktown (VA); Remote; USD 54,000 - 143,000; Full time

Benefits offered by this job

Shift differential 12.5%

Remote work

Comprehensive benefits package

Job summary

CVS Health is seeking a Behavioral Health Utilization Management Clinician for a 100% remote, nationwide role. The position focuses on reviewing preauthorization requests, coordinating decisions, and ensuring timely, appropriate behavioral health services with crisis management capabilities.

The role requires an active behavioral health license, 3+ years of post-licensure experience, and the ability to work telephonically and with computer-based systems.

Qualifications

• Active behavioral health license in your state of residence.
• 3+ years post-licensure behavioral health experience.
• Experience with telephonic and computer-based work.

Responsibilities

• Review preauthorization requests for behavioral health services using guidelines and clinical judgment.
• Coordinate, document, and communicate utilization management decisions with providers and stakeholders.
• Ability to manage crisis calls, assess risk, and coordinate appropriate interventions.
• Apply clinical expertise to support quality, cost-effective care and positive member outcomes.
• Collaborate with providers and care teams to facilitate appropriate levels of care.

Skills

Behavioral health license

Telephonic work

Care coordination

Education

Master's degree in Social Work, Counseling, or Psychology

Bachelor's degree in Nursing with Behavioral Health or Psychology emphasis

Tools

Telecommunication tools

Electronic health records

Job description

CVS Health is seeking a Behavioral Health Utilization Management Clinician for a 100% remote, nationwide role. The position focuses on reviewing preauthorization requests, coordinating decisions, and ensuring timely, appropriate behavioral health services with crisis management capabilities.

The role requires an active behavioral health license, 3+ years of post-licensure experience, and the ability to work telephonically and with computer-based systems.