Remote Behavioral Health Utilization Clinician

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

Benefits offered by this job

Shift differential 12.5%

Job summary

CVS Health is seeking a Behavioral Health Utilization Management Clinician for a fully remote, nationwide role. You will review behavioral health requests, coordinate decisions with providers, and manage crisis calls with clinical judgment. 3+ years of behavioral health experience and an active license are required.

The role offers a 12.5% shift differential, full-time hours, and comprehensive benefits. You’ll join a team focused on timely, appropriate care and positive member outcomes across a

Qualifications

• Active, unrestricted independent behavioral health license in your state.
• 3+ years of 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.

Responsibilities

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

Skills

Crisis assessment

Clinical decision making

Telephonic work

Education

Master's in Social Work, Counseling, or Psychology

Bachelor's in Nursing with Behavioral Health emphasis

Job description

CVS Health is seeking a Behavioral Health Utilization Management Clinician for a fully remote, nationwide role. You will review behavioral health requests, coordinate decisions with providers, and manage crisis calls with clinical judgment. 3+ years of behavioral health experience and an active license are required.

The role offers a 12.5% shift differential, full-time hours, and comprehensive benefits. You’ll join a team focused on timely, appropriate care and positive member outcomes across a