Remote Behavioral Health Utilization Clinician

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

Benefits offered by this job

Fully remote position across the U.S.

12.5% shift differential

Job summary

CVS Health seeks a licensed Behavioral Health Utilization Management Clinician for a 100% remote role across the U.S. This role reviews preauthorization requests and coordinates with providers to ensure timely, evidence-based behavioral health services.

Responsibilities include crisis assessment, clinical decision-making, and ensuring cost-effective, quality care in a fast-paced queue-driven environment. 12.5% shift differential applies.

Qualifications

• Active, unrestricted independent behavioral health license in your state.
• 3+ years post-licensure behavioral health experience.
• Experience with mental health and substance use disorders.
• Ability to manage telephonic and computer-based work.
• High-speed internet (min 25 Mbps down / 3 Mbps up).

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, assess risk, determine support needs, and coordinate interventions including suicide risk.
• Apply clinical expertise to support quality, cost-effective care and positive 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

Licensure in behavioral health

Telephonic care management

Time management

High-speed internet

Behavioral health assessment

Education

MSW / Counseling / Psychology

BSN with BH or Psychology emphasis

Job description

CVS Health seeks a licensed Behavioral Health Utilization Management Clinician for a 100% remote role across the U.S. This role reviews preauthorization requests and coordinates with providers to ensure timely, evidence-based behavioral health services.

Responsibilities include crisis assessment, clinical decision-making, and ensuring cost-effective, quality care in a fast-paced queue-driven environment. 12.5% shift differential applies.