FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Utilization Management Clinician, Behavioral Health
CVS Health. Review preauthorization requests for behavioral health services using evidence-based guidelines and clinical judgment .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in behavioral health clinical practices, including crisis management and utilization management, while effectively coordinating care and communication with providers. Holds an active clinical license and possesses extensive experience in mental health and substance use disorders.
Highest-signal resume keywords
Active Behavioral Health Clinical License3+ Years Behavioral Health ExperienceCrisis ManagementUtilization Management ExperienceTelephonic Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Behavioral Health AssessmentCrisis InterventionEvidence-Based GuidelinesUtilization ManagementMental Health DisordersSubstance Use DisordersDocumentation SkillsQuality Care SupportCost-Effective CareMulti-Priority Management
Soft Skills
Effective CommunicationCollaborationClinical JudgmentRisk AssessmentProblem-Solving
Tools & Technologies
Telephonic SystemsComputer-Based Work PlatformsHigh-Speed Internet
Certifications & Qualifications
LCSWLICSWLISWLMSWLPCLMHCLCMHCLMFTClinical PsychologistRegistered Nurse
Industry Keywords
Behavioral HealthMental HealthSubstance UseCrisis CallsWelfare ChecksManaged CareHospital-Based ExperiencePrior AuthorizationQuality OutcomesStakeholder Communication
About the role
Key responsibilities & impact- 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
- Manage crisis calls, assess risk, determine support needs, and coordinate appropriate interventions
- Escalate 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
Requirements
What you’ll need- Active, unrestricted independent behavioral health clinical license in the state of residence, including LCSW, LICSW, LISW, LMSW, LPC, LMHC, LCMHC, LMFT, Clinical Psychologist, or 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 with minimum 25 Mbps download and 3 Mbps upload
- Must be available to work holidays
- 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
- Hospital-based behavioral health experience preferred
- Utilization Management or Prior Authorization experience preferred
- Managed Care experience preferred
Benefits
Comp & perks- 12.5% shift differential
- CVS Health bonus, commission or short-term incentive program
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being