Behavioral Health Navigator & Case Manager

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

Job summary

CVS Health is seeking a Behavioral Health Case Manager / Member Navigator in Baton Rouge, LA to help members navigate the healthcare system and stay connected to care. The role focuses on reducing gaps in behavioral health quality by addressing barriers and facilitating timely follow-up after inpatient admissions or ED visits.

Responsibilities include outreach, coordinating with providers, improving treatment plan engagement, and linking members to community resources.

Qualifications

• Prior clinical and/or managed care experience in the healthcare industry or quality management.

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 experience

Case management

Discharge planning

Managed Care experience

Education

Bachelor's degree

Job description

CVS Health is seeking a Behavioral Health Case Manager / Member Navigator in Baton Rouge, LA to help members navigate the healthcare system and stay connected to care. The role focuses on reducing gaps in behavioral health quality by addressing barriers and facilitating timely follow-up after inpatient admissions or ED visits.

Responsibilities include outreach, coordinating with providers, improving treatment plan engagement, and linking members to community resources.