Cvs Health Utilization Management Jobs (NOW HIRING)

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 ourselvesaccountable 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
• 10% 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 10% 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. Apply today!

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

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.

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

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