Utilization Management Clinician, Behavioral Health – Autism Care Team

Job not on LinkedIn

🔥 16 hours ago

⛷️ Utah – Remote

⛷️ Utah – Remote

💵 $54.1k - $116.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Open for 1 day.
• Jobs at this company usually fill in 21 days.

Apply Now

Find Similar Remote Jobs

CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• 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

• 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

• 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

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume