Behavioral Health Residential Admissions Specialist

Pennsylvania Psychological Association; Oklahoma; Hybrid; USD 29.000 - 68.000; Vollzeit

Benefits dieser Stelle

Medical insurance

Dental insurance

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Zusammenfassung

CVS Health is hiring a Behavioral Health Residential Coordinator to manage admissions for out-of-home residential treatment and to coordinate across utilization management, behavioral health homes, and residential providers. The role emphasizes strong clinical judgment, organization, and cross-team collaboration, with a focus on timely access to appropriate care.

The position requires 2+ years in Arizona's behavioral health network, proficiency with Excel and electronic records, and up to 10%

Qualifikationen

• 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.

Aufgaben

• 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 based on needs.
• Manage the residential referral process, including 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.
• Serve as a primary point of contact for residential treatment providers, behavioral health homes, and internal stakeholders regarding facility-related 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.
• Perform other duties as assigned.

Ausbildung

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

Tools

Microsoft Excel

Electronic documentation systems

Jobbeschreibung

CVS Health is hiring a Behavioral Health Residential Coordinator to manage admissions for out-of-home residential treatment and to coordinate across utilization management, behavioral health homes, and residential providers. The role emphasizes strong clinical judgment, organization, and cross-team collaboration, with a focus on timely access to appropriate care.

The position requires 2+ years in Arizona's behavioral health network, proficiency with Excel and electronic records, and up to 10%