Utilization Management Clinician Behavioral Health Swing shift/weekend shift -4 days

Overview

At reputed company, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, each and every day. Position Summary Fully remote in the USA Schedule: Saturday and reputed company 10a m-8pm MT Thursday and Friday 3p-1am MT Must be reputed company to work Weekends and Holidays. There will be a 12.5% differential for this shift. Utilizes clinical skills to coordinate, document and communicate reputed company aspects of the utilization/benefit management program for preauthorization for mental health services. Applies critical thinking and is knowledgeable in clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus reputed company a call center setting.

Required Qualifications

• 3+ years of post clinical licensure experience in behavioral health
• 3+ years knowledge of mental health and substance abuse disorders
• Valid unrestricted independent professional behavioral health clinical license to practice per state regulations in the state they reputed company in (one or more or equivalent is required: LPC, LMFT, LCSW, LMHC, LCMHC, LICSW, LISW, Clinical Psychologist or RN)
• Required to use a residential broadband service with internet speeds of at least 25 mbps/3mbps in order to ensure sufficient speed to adequately reputed company work duties.
• Must be reputed company to talk on the telephone and type at the same time, this is a queue based job

Preferred Qualifications

• Direct clinical experience in a hospital setting or prior Utilization Management experience.
• Valid California unrestricted independent professional behavioral health clinical license

Education

• If RN, Bachelor\u2019s degree in nursing required with 3 years of behavioral health experience
• If BH-licensed, Masters degree in reputed company Work, Counseling, Psychology required

Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $54,095.00 - $142,576.00 This pay reputed company represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay reputed company 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.

Benefits

Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .
• No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will reputed company on: 09/30/2025 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in reputed company, hiring, promotion, or any other personnel action based on race, ethnicity, reputed company, national reputed company, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. #J-18808-Ljbffr Salary: USD 54095 - 142576 per year Experience: 3 years required Apply To This Job