Remote Behavioral Health Utilization Clinician

CVS Health; Arkansas; Remote; USD 54,000 - 143,000; Full time

Benefits offered by this job

Shift differential (12.5%)

Fully remote (US)

Comprehensive benefits

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 care, and applying clinical judgment to ensure timely, appropriate behavioral health services for members.

Responsibilities include crisis assessment, collaboration with providers, and maintaining quality and cost-effective care in a fast-paced setting.

Qualifications

• Licensed behavioral health professional with state licensure (LCSW/LICSW/LISW/LMSW; LPC/LMHC/LCMHC; LMFT; Clinical Psychologist; RN)
• 3+ years post-licensure behavioral health experience
• 3+ years of experience with mental health and substance use disorders
• Ability to manage telephonic and computer-based work simultaneously
• Requires high-speed internet (min 25 Mbps download / 3 Mbps upload)

Responsibilities

• Review preauthorization requests for behavioral health services using evidence-based guidelines and clinical judgment
• Coordinate, document, and communicate utilization management decisions with providers and stakeholders
• Manage crisis calls, assess risk, coordinate interventions including suicide risk and welfare checks
• Apply clinical expertise to support quality, cost-effective care and positive member outcomes
• Work in a fast-paced queue-based environment with multiple priorities
• Collaborate with providers and care teams to facilitate appropriate levels of care

Skills

Telephonic work

Clinical licensing

Crisis risk assessment

Care coordination

High-speed internet

Education

Master's in Social Work / Counseling / Psychology

BSN (Behavioral Health/Psychology emphasis)

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 care, and applying clinical judgment to ensure timely, appropriate behavioral health services for members.

Responsibilities include crisis assessment, collaboration with providers, and maintaining quality and cost-effective care in a fast-paced setting.