Behavioral Health Case Navigator & Care Coordinator

MePA; Baton Rouge (LA); On-site; USD 54,000 - 117,000; Full time

Job summary

CVS Health in the United States is seeking a Behavioral Health Case Manager / Member Navigator to help members navigate the healthcare system after inpatient stays or referrals and to stay connected to care.

You will conduct outreach, arrange timely follow-ups, reduce barriers to care, coordinate with care teams, and support prevention of readmissions while benefiting from CVS Health's comprehensive benefits.

Qualifications

• Prior clinical and/or managed care experience in the healthcare industry or quality management.
• Behavioral Health experience.
• Case management and discharge planning experience.
• Managed Care experience.

Responsibilities

• Conduct outreach to members following behavioral health inpatient admissions and emergency department visits.
• Facilitate timely follow-up appointments.
• Improve member engagement with behavioral health treatment plans.
• Address barriers to accessing care.
• Connect members with community and social support resources.
• Coordinate with providers, care managers, and population health teams.
• Act on ADT notifications and discharge information to intervene quickly during high-risk transition periods.
• Support continuity of care and prevention of avoidable readmissions.

Skills

Behavioral Health

Case Management

Discharge Planning

Managed Care

Education

Bachelor's degree

Job description

CVS Health in the United States is seeking a Behavioral Health Case Manager / Member Navigator to help members navigate the healthcare system after inpatient stays or referrals and to stay connected to care.

You will conduct outreach, arrange timely follow-ups, reduce barriers to care, coordinate with care teams, and support prevention of readmissions while benefiting from CVS Health's comprehensive benefits.