Remote Behavioral Health Utilization Clinician

CVS Health Corporation; Montpelier (VT); Remote; USD 54,000 - 143,000; Full time

Benefits offered by this job

Medical insurance

Dental coverage

Vision coverage

Paid time off

Retirement plan

Wellness programs

Job summary

CVS Health is seeking a Behavioral Health Utilization Management Clinician to deliver remote clinical expertise across the United States. You will review requests, coordinate decisions, and manage crisis situations with a focus on safe, appropriate care.

The role emphasizes collaboration with providers and care teams while working in a fast-paced telehealth environment. The position requires an active behavioral health license, 3+ years of post-licensure experience, and a Master’s or Nursing

Qualifications

• Active, unrestricted independent behavioral health clinical license in your state of residence.
• 3+ years of post-licensure behavioral health experience.
• 3+ years of experience working with mental health and substance use disorders.
• Ability to effectively manage telephonic and computer-based work simultaneously.
• High-speed residential internet service (minimum 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, determine support needs, and coordinate interventions, including suicide risk and welfare checks when necessary.
• Apply clinical expertise to support quality, cost-effective care and positive member outcomes.
• Work in a fast-paced, queue-based environment while managing multiple priorities.
• Collaborate with providers and care teams to facilitate appropriate levels of care.

Skills

Behavioral health license

Post-licensure experience

Mental health & substance use

Telephonic & computer work

Education

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

Bachelor's degree in Nursing (Behavioral Health/Psychology emphasis)

Job description

CVS Health is seeking a Behavioral Health Utilization Management Clinician to deliver remote clinical expertise across the United States. You will review requests, coordinate decisions, and manage crisis situations with a focus on safe, appropriate care.

The role emphasizes collaboration with providers and care teams while working in a fast-paced telehealth environment. The position requires an active behavioral health license, 3+ years of post-licensure experience, and a Master’s or Nursing