Utilization Management Clinician, Behavioral Health – Autism Care Team

CVS Health

. Assess appropriateness of treatment plans for ABA services using evidence-based standards and practice guidelines .

Posted 11/11/2026full-timeRemote • Utah • United StatesMid-LevelSenior💰 $54,095 - $116,760 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in assessing treatment plans for ABA services, coordinating healthcare services, and providing crisis support. Holds a valid independent professional behavioral health clinical license and possesses extensive experience in clinical practice and crisis intervention.

Highest-signal resume keywords

Valid Independent Professional Behavioral Health Clinical License3 Years Direct Clinical Practice ExperienceCrisis Intervention ExperienceExperience with Autism DiagnosisMaster's Degree in Behavioral/Mental Health

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Assessment of Treatment PlansCrisis SupportClinical Criteria ApplicationDischarge PlanningUtilization Management

Soft Skills

Effective CommunicationCoordination with ProvidersMember Outreach

Tools & Technologies

Healthcare Service Coordination

Certifications & Qualifications

LPCLMFTLCSWLCPCLMHCLCMHCLICSWLISWLBSLBA

Industry Keywords

ABA ServicesManaged CareBehavioral HealthCrisis InterventionQuality Healthcare Services

About the role

Key responsibilities & impact

Assess appropriateness of treatment plans for ABA services using evidence-based standards and practice guidelines
Coordinate, monitor, and evaluate healthcare service and benefit options for members
Provide triage and crisis support
Gather clinical information and apply clinical criteria, guidelines, policies, procedures, and judgment to render coverage determinations and recommendations
Facilitate effective discharge planning across the continuum of care
Coordinate with providers and other parties to facilitate optimal care and treatment
Identify members at risk for poor outcomes and facilitate referrals to other products, services, and programs
Conduct member outreach to provide resources and education, answer questions, and offer referrals
Identify opportunities to promote quality and effective healthcare services and benefit utilization
Consult with internal and external constituents on utilization and benefit management

Requirements

What you’ll need

Valid unrestricted independent professional behavioral health clinical license to practice in the state of residence; one or more of LPC, LMFT, LCSW, LCPC, LMHC, LCMHC, LICSW, LISW, LBS, LBA, or Clinical Psychologist is required, or equivalent
3 years of direct clinical practice experience post master’s degree
2 years of crisis intervention experience
3 years of experience working with clients with an autism diagnosis
Residential broadband service with internet speeds of at least 25 mbps/3mbps
Master’s degree in Behavioral/Mental Health or Human Service/Health Services
Previous Managed Care experience preferred

Benefits

Comp & perks

Full-time comprehensive benefits package
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources based on eligibility
Potential partial reimbursement of residential broadband service costs
CVS Health bonus, commission or short-term incentive program in addition to base pay