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Cvs Health Utilization Management Remote Jobs in Arizona

At Banner Health, advanced technology and nursing come together to achieve the best patient care ... THIS IS A REMOTE POSITION Monday-Friday 8:00AM- 5:00PM AZ TIME WITH ROTATING WEEKENDS EVERY 8 th ...

Senior Compliance Specialist

Phoenix, AZ · Remote

$39.18 - $58.28/hr

Oversee utilization management, quality, and network management compliance across the organization. * Execute health plan delegation oversight programs to support CommonSpirit Health's departmental ...

Senior Compliance Specialist

Phoenix, AZ · Remote

$39.18 - $58.28/hr

Oversee utilization management, quality, and network management compliance across the organization. * Execute health plan delegation oversight programs to support CommonSpirit Health's departmental ...

Senior Compliance Specialist

Phoenix, AZ · Remote

$39.18 - $58.28/hr

Oversee utilization management, quality, and network management compliance across the organization. * Execute health plan delegation oversight programs to support CommonSpirit Health's departmental ...

Ensure clinical programs, utilization review activities, and medical management processes align ... Managed care or health insurance industry experience Where You'll Work: This is a fully remote ...

Showing results 21-40

Cvs Health Utilization Management Remote information

What is the difference between Cvs Health Utilization Management Remote vs Cvs Health Medical Reviewer?

AspectCvs Health Utilization Management RemoteCvs Health Medical Reviewer
CredentialsRN, LPN, or other healthcare licensesRN, MD, or DO licenses
Work EnvironmentRemote, home-basedRemote or onsite, depending on role
Employer & Industry UsageUtilization management for insurance approvalsMedical review for claims and authorizations

Both roles involve healthcare assessments, often requiring similar licenses. Utilization Management Remote focuses on reviewing medical necessity for insurance purposes, while Medical Reviewers may handle detailed case evaluations. Both are remote-friendly and integral to healthcare insurance processes, but differ slightly in scope and responsibilities.

What are the most commonly searched types of Cvs Health Utilization Management jobs in Arizona?

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The top searched job categories for Cvs Health Utilization Management Remote jobs in Arizona are:

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Cities in Arizona with the most Cvs Health Utilization Management Remote job openings:

Behavioral Health Specialist Requires LCSW LPC or LMFT

CVS Health

Chandler, AZ • On-site, Remote

$60K - $129K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 4 days ago


CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,359 frontline employees who took The Breakroom Quiz

92nd of 113 rated pharmacies


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 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.

Title: Behavioral Health Specialist Requires LCSW, LPC or LMFT

Company: Oak Street Health

Role Description:

The purpose of a Behavioral Health Specialist at Oak Street Health is to provide care management services and to provide evidence-based short-term psychotherapy to our patients with behavioral health needs. The Behavioral Health Specialist is a key resource for Care Teams across a region of Oak Street Health primary clinics. They are responsible for coordinating and supporting behavioral healthcare for our patients, in collaboration with Care Teams and a psychiatric consultant. The Behavioral Health Specialist will assess the needs of patients, make referrals to appropriate behavioral health resources and specialists, and provide short-term counseling and evidence-based treatments as indicated. This role has the potential option for remote work days based upon achievement and maintenance of program metrics.

Core Responsibilities:

  • Collaborate with the primary care teams to identify appropriate patients to refer to the Oak Street Behavioral Health Program
  • Screen and assess patients for common mental health and substance use disorders
  • Develop care plans and provide or facilitate referrals to Oak Street's psychiatric consultant and/or external resources
  • Provide short-term counseling and evidence-based treatments
  • Coordinate care with Oak Street's psychiatric consultant, including warm handoffs for telehealth visits and collaboration on care plans
  • Develop relationships with primary care teams and consistently communicate changes in behavioral health care plans
  • Accurate and timely documentation of patient encounters and counseling sessions in Oak Street's electronic medical record
  • Participate in regional and organizational efforts to advance Oak Street's Behavioral Health Program through workshops, feedback sessions, and surveys
  • Possibly covering multiple clinics, depending on the maturity and panel sizes of those clinics
  • Other duties, as assigned

What are we looking for?

Required:

  • Master's Degree in the field of mental health counseling/healing arts required from an accredited school (Social Work, Counseling, Marriage and Family Therapy, etc.)
  • Highest clinical level of license (or local equivalent)
  • Experience with screening for common mental health and/or substance use disorders
  • Experience with assessment and treatment planning for common mental health and/or substance use disorders
  • Familiarity with brief, structured intervention techniques (e.g., Motivational Interviewing, Behavioral Activation, Problem Solving, Cognitive Behavioral, etc.)
  • US work authorization

Strongly Preferred:

  • Proficiency in providing brief, structured intervention techniques (e.g., Motivational Interviewing, Behavioral Activation, Cognitive Behavioral)
  • Working knowledge of differential diagnoses of common mental health and/or substance use disorders

Preferred:

  • Proficient PC skills

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$60,522.00 - $129,615.00

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 fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing 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: 12/31/2026

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


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