[Hiring] Utilization Management – Registered Nurse or Behavioral Health Clinician - After Hours @CVS Health
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.
Role Description
Utilizes 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 based upon program focus within a call center setting.
• Fully remote in the USA.
• Schedule:
• Saturday and Sunday 10 AM - 8 PM MT
• Thursday and Friday 3 PM - 1 AM MT
• Must be able to work Holidays.
• There will be a 12.5% differential for this shift.
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)
• Must be able 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.
Education
• 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
Anticipated Weekly Hours
• 40
Time Type
• Full time
Pay Range
The typical pay range for this role is: $54,095.00 - $116,760.00. 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.
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.
Application Information
We anticipate the application window for this opening will close on: 03/31/2026. 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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Role Description
Utilizes 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 based upon program focus within a call center setting.
• Fully remote in the USA.
• Schedule:
• Saturday and Sunday 10 AM - 8 PM MT
• Thursday and Friday 3 PM - 1 AM MT
• Must be able to work Holidays.
• There will be a 12.5% differential for this shift.
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)
• Must be able 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.
Education
• 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
Anticipated Weekly Hours
• 40
Time Type
• Full time
Pay Range
The typical pay range for this role is: $54,095.00 - $116,760.00. 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.
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.
Application Information
We anticipate the application window for this opening will close on: 03/31/2026. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Apply tot his job
Apply To this Job