Behavioral Health Utilization Management Clinician 100% Remote | Nationwide | Shift Differential Eligible Are you a licensed Behavioral Health professional looking for a rewarding remote role that combines clinical expertise, critical thinking, and care coordination? Join our Utilization Management team and help ensure members receive timely, appropriate behavioral health services while making a meaningful impact on outcomes. Saturday and Sunday 12pm-10pm MT (2pm-midnight EST) Must be available to work holidays 12.5% shift differential included 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 Ability to manage crisis calls, apply clinical judgment to assess risk, determine support needs, and coordinate appropriate interventions, including escalation for 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 Active, unrestricted independent behavioral health clinical license in your state of residence, including one of the following: LPC, LMHC, LCMHC 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 Hospital-based behavioral health experience Utilization Management or Prior Authorization experience Managed Care experience 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 Fully remote position available anywhere in the U. Additional 12.5% shift differential Full time Pay Range The typical pay range for this role is: $54,095.00 - $142,576.00 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. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 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. This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 10/24/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. #J-18808-Ljbffr