Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

　　Position Summary Fully remote in the USA.Shift standard business hours Monday-Friday 8:30am-5pm mtn, pst or cst time zone. No nights, no weekends, no on call and no holidays.- Utilizes clinical experience and skills in a collaborative process to assess appropriateness of treatment plans for ABA services and applies evidence based standards and practice guidelines to treatment where appropriate.- Coordinates, monitors, and evaluates options to facilitate appropriate healthcare services/benefits for members.- Provides triage and crisis support.- Gathers clinical information and applies the appropriate clinical criteria/guidelines, policy, procedure, and clinical judgment to render coverage. Gives providers determinations/recommendations along the continuum of care facilitates including effective discharge planning.- Coordinates with providers and other parties to facilitate optimal care/treatment.

　　Identifies members at risk for poor outcomes and facilitates referral opportunities to integrate with other products, services, and/or programs.

　　Outreaches members to provide resources and education, answer questions, and offer referrals for additional services covered by the member's plan. - Identifies opportunities to promote quality effectiveness of healthcare services and benefit utilization.- Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function.

　　Required Qualifications:- 3 years of direct clinical practice experience post master’s degree, e.g., hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility-2 years Crisis intervention experience

　　-3 years experience working with clients with an Autism Diagnosis

　　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, LP, LMFT, LCSW, LCPC, LMHC, LCMHC, LICSW, LISW, Clinical Psychologist.- Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing into the computer.- Required to use a residential broadband service with internet speeds of at least 25 mbps/3mbps in order to ensure sufficient speed to adequately perform work duties. Some candidates may be eligible for partial reimbursement of the cost of residential broadband service.Preferred Qualifications

　　-Previous Managed Care experience

　　-BCBA certification

　　Education:Master's degree in Behavioral/Mental health or Human Service/Health Services

　　Pay Range

　　The typical pay range for this role is:

　　$60,522.80 - $129,600.00

　　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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

　　CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

　　You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

　　CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through [email protected] If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.