Utilization Management Clinician Behavioral Health Night Shift - 4 Days

CVS Health; Oregon; Hybrid; USD 54,000 - 143,000; Full time

Benefits offered by this job

Fully remote

Shift differential

Bonus eligible

Job summary

CVS Health is seeking a Behavioral Health Utilization Management Clinician for a fully remote role nationwide. The position involves reviewing preauthorization requests, coordinating decisions, and managing crisis calls while ensuring timely, appropriate behavioral health services and positive member outcomes.

Candidates must hold an eligible behavioral health license and have 3+ years of post-licensure experience with mental health and substance use disorders.

Qualifications

• 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 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
• 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

LCSW / LICSW / LISW / LMSW

LPC / LMHC / LCMHC

LMFT

Clinical Psychologist

RN

Education

Master's in Social Work / Counseling / Psychology

Bachelor's in Nursing (Behavioral Health)

Job description

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience.

At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.

Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Behavioral Health Utilization Management Clinician

100% Remote | Nationwide | Shift Differential Eligible

Are you a licensed Behavioral Health professional looking for a rewarding remote role that combines clinical expertise, critical thinking, and care coordination? Join our Utilization Management team and help ensure members receive timely, appropriate behavioral health services while making a meaningful impact on outcomes.

Schedule

• Saturday and Sunday 12pm-10pm MT (2pm-midnight EST)
• Thursday-Friday 3p-1am MT (5pm-3am EST)
• Must be available to work holidays
• 12.5% shift differential included

What You'll Do

• 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

WHAT YOU BRING - REQUIRED

• 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)

Preferred Qualifications

• Hospital-based behavioral health experience
• Utilization Management or Prior Authorization experience
• Managed Care experience

Education

• Behavioral Health Clinicians: Master's degree in Social Work, Counseling, or Psychology
• Registered Nurses: Bachelor's degree in Nursing with an emphasis in Behavioral Health or Psychology

Why Join Us?

• Fully remote position available anywhere in the U.S.
• Additional 12.5% shift differential
• Opportunity to apply your clinical expertise in a non-traditional setting
• Meaningful work that improves access to quality behavioral health care
• Collaborative, mission-driven team environment

Anticipated Weekly Hours 40

Time Type Full time

Pay Range: The typical pay range for this role is: $54,095.00 - $142,576.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great peopleWe take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

We anticipate the application window for this opening will close on: 11/04/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.