CVS Health

Bringing our heart to every moment of your health.

Utilization Management Clinician Behavioral Health Night Shift 4 days

Medical DirectorMedical DirectorFull TimeRemoteTeam 10,001+Since 1963H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

14 days ago

Salary

$54.1K - $142.6K / year

No structured requirement data.

Job Description

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

This role involves utilizing clinical skills to coordinate, document, and communicate all 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.
  • Works within a call center setting.

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 reside 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
  • Must be able to talk on the telephone and type at the same time, this is a queue-based job

Requirements

  • Direct clinical experience in a hospital setting or prior Utilization Management experience (preferred)
  • If RN, Bachelor's degree in nursing required with emphasis on Behavioral Health or Psychology
  • If BH-licensed, Masters degree in Social Work, Counseling, Psychology required

Benefits

  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for all 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 access, and many other benefits depending on eligibility

Job Requirements

  • 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 reside 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
  • Must be able to talk on the telephone and type at the same time, this is a queue-based job
  • Direct clinical experience in a hospital setting or prior Utilization Management experience (preferred)
  • If RN, Bachelor's degree in nursing required with emphasis on Behavioral Health or Psychology
  • If BH-licensed, Masters degree in Social Work, Counseling, Psychology required

Benefits

  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for all 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 access, and many other benefits depending on eligibility

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