Remote Behavioral Health Utilization Clinician

CVS Health Corporation; United States; Remote; USD 54,000 - 143,000; Full time

Benefits offered by this job

12.5% shift differential

Fully remote position

Job summary

CVS Health is hiring a Behavioral Health Utilization Management Clinician for a 100% remote position across the United States. The role supports timely, appropriate behavioral health services with emphasis on crisis management and care coordination.

Shifts include weekends and evenings with a 12.5% shift differential and holiday availability. The role requires a licensed behavioral health professional with 3+ years of post-licensure experience and access to reliable internet.

Qualifications

• Active, unrestricted independent behavioral health clinical license in your state of residence, including one of the following: LCSW, LICSW, LISW, LMSW, LPC, LMHC, LCMHC, LMFT, Clinical Psychologist, RN.
• 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.
• Ability to manage crisis calls, apply clinical judgment to assess risk, determine support needs, and coordinate appropriate interventions, including escalation for suicide risk, self-harm concerns, 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

Education

Master's degree in Social Work Counseling or Psychology

Bachelor's degree in Nursing with Behavioral Health emphasis or Psychology

Job description

CVS Health is hiring a Behavioral Health Utilization Management Clinician for a 100% remote position across the United States. The role supports timely, appropriate behavioral health services with emphasis on crisis management and care coordination.

Shifts include weekends and evenings with a 12.5% shift differential and holiday availability. The role requires a licensed behavioral health professional with 3+ years of post-licensure experience and access to reliable internet.