Behavioral Health Residential Admissions Coordinator

Preferra Insurance; Minnesota; On-site; USD 44,000 - 102,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Job summary

CVS Health is seeking a Behavioral Health Residential Coordinator to support the utilization management team for out-of-home residential services in Arizona. You will coordinate referrals, identify appropriate providers, and manage documentation to ensure timely access to quality treatment for members.

You will collaborate with behavioral health homes, treating providers, and community partners, handle urgent facility disruptions, and participate in interdisciplinary reviews to support

Qualifications

• 2+ years of experience with Arizona behavioral health system, behavioral health network operations, and community-based treatment resources.
• Proficiency in Microsoft Office applications (particularly Excel) and electronic documentation systems.
• Willingness to travel up to 10% of the time within Arizona.

Responsibilities

• Coordinate residential treatment referrals and admissions across multiple levels of care.
• Identify most appropriate participating residential treatment providers to support treatment goals.
• Manage the residential referral process, including distribution of referrals, tracking provider responses, and maintaining documentation.
• Collaborate with behavioral health homes, treating providers, and community partners to ensure timely submission of clinical information required for facility reviews.
• Monitor referral status and facility timelines to promote timely access to care.
• Serve as primary contact for residential treatment providers and internal stakeholders regarding facility questions and coordination needs.
• Respond with urgency to facility disruptions, denials, or changes in member circumstances by identifying and coordinating alternative treatment options.
• Participate in behavioral health utilization management rounds and interdisciplinary case reviews; present member cases and provide operational support to team discussions.
• Facilitate and participate in meetings with behavioral health residential providers to support collaboration, resolve barriers, and improve facility outcomes.
• Partner with Care Management, Utilization Management, Quality Management, and other internal departments to support continuity of care and coordinated service delivery.
• Identify, elevate, and assist in addressing concerns and collaborate with leadership.
• Maintain accurate case documentation, referral records, and tracking tools in accordance with organizational policies, regulatory requirements, and departmental standards.
• Support departmental projects, process improvements, reporting activities, and other operational initiatives related to residential treatment coordination and utilization management.
• Apply care coordination principles, clinical judgment, and established policies and procedures to promote quality outcomes and appropriate resource utilization.

Skills

Microsoft Office

Excel

Travel up to 10%

Education

Bachelor's degree in Behavioral Health

Job description

CVS Health is seeking a Behavioral Health Residential Coordinator to support the utilization management team for out-of-home residential services in Arizona. You will coordinate referrals, identify appropriate providers, and manage documentation to ensure timely access to quality treatment for members.

You will collaborate with behavioral health homes, treating providers, and community partners, handle urgent facility disruptions, and participate in interdisciplinary reviews to support