Remote Behavioral Health Utilization Clinician

CVS Health Corporation

Salt Lake City (UT)

Remote

USD 54,000 - 143,000

Full time

2 days ago

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Job summary

CVS Health Corporation in the United States is seeking a Behavioral Health Utilization Management Clinician for a 100% remote role. You will review preauthorization requests, coordinate decisions, and manage crisis calls while supporting timely, quality behavioral health care.

This full-time position offers a 40-hour week, a 12.5% shift differential, and benefits. You must hold an active behavioral health license and have 3+ years of post-licensure experience in mental health and substance use

Qualifications

Active, unrestricted behavioral health license in your state (LCSW/LICSW/LISW/LMSW, LPC/LMHC/LCMHC, LMFT, Clinical Psychologist, RN).
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.
High-speed internet at home (min 25 Mbps down / 3 Mbps up).

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.
Ability to manage crisis calls, assess risk, and coordinate interventions including escalation for suicide risk or self-harm.
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.