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CVS Health UM Clinician - BH in Phoenix, Arizona

Job Description

This is a full-time telework role, but candidates must be located in MST or PST. Schedule is Monday-Friday, 8:30am-5pm PST. Applies critical thinking and is knowledgeable of evidence-based treatment and clinical practice guidelines for Behavioral Health, specific to Applied Behavior Analysis (ABA). The majority of time is spent at a desk and on the telephone reviewing precertification/continued stay cases with the treating provider using specific criteria and making decisions to authorize additional services for our members or refer to a physician for a determination. Collaborates with providers and members to ensure appropriate planning to meet member needs.Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing into the computer.

Required Qualifications

  • Independent Clinical Behavioral Health license (i.e LCSW, LPC, LMFT, LMHC, LBS)- 3+ years of direct clinical practice experience- Autism/ABA experience- Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding

Preferred Qualifications

  • Independent BCBA - highly preferred- Managed care/utilization review experience- Case Management experience- Crisis intervention skills

Education

  • Master's degree required with an Independent Clinical Behavior Health license required or BCBA certification with license.

Business Overview

At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

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