Behavioral Health Residential Admissions Specialist

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

Job summary

CVS Health is seeking a Behavioral Health Residential Coordinator to support the Behavioral Health Child/Adolescent Utilization Management Department in coordinating residential treatment admissions for members requiring out-of-home services.

The role interfaces with utilization management teams, residential providers, care management, and external stakeholders to ensure timely access to quality treatment settings.

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 facility referrals and admissions for members approved for out-of-home behavioral health residential treatment across multiple levels of care.
• Identify the most clinically appropriate participating residential treatment providers to support the member's treatment goals.
• Manage the residential referral process, including the distribution of referrals, tracking provider responses, and maintaining accurate documentation of facility activities.
• 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 and minimize delays in treatment facility.

Skills

Behavioral health coordination

Cross-functional communication

Education

Bachelor's degree in Behavioral Health, Psychology, Social Work, Human Services, Healthcare Administration, or related field

Tools

Microsoft Office (Excel)

Job description

CVS Health is seeking a Behavioral Health Residential Coordinator to support the Behavioral Health Child/Adolescent Utilization Management Department in coordinating residential treatment admissions for members requiring out-of-home services.

The role interfaces with utilization management teams, residential providers, care management, and external stakeholders to ensure timely access to quality treatment settings.