Utilization Management Clinician Behavioral Health Night Shift - 4 Days

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

Benefits offered by this job

Fully remote nationwide

Shift differential 12.5%

Comprehensive benefits

Job summary

CVS Health Corporation is hiring a Behavioral Health Utilization Management Clinician to work remotely across the United States. The role involves reviewing preauthorization requests, coordinating decisions with providers, and managing crisis situations with clinical judgment.

The position requires an active behavioral health license, 3+ years of post-licensure experience, and the ability to work telephonically and via computer in a fast-paced setting. A 12.5% shift differential is included.

Qualifications

• Active, unrestricted behavioral health clinical license in your state.
• 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.

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, and coordinate necessary interventions including escalation for suicide risk or welfare checks.
• 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

Telephonic work

Clinical judgment

Crisis risk assessment

Evidence-based guidelines

Education

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

Bachelor's in Nursing (BSN) with Behavioral Health emphasis

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

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

If you're passionate about behavioral health, thrive in a fast-paced environment, and want to help members access the care they need, we'd love to hear from you.

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 people

We 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.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 10/24/2026

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