Behavioral Health Residential Care Coordinator

Voices for Voices; Rhode Island; Hybrid; USD 60,460,000 - 140,634,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a Behavioral Health Residential Coordinator to manage admissions and referrals for out-of-home residential treatment, coordinating with utilization management teams, residential providers, and care management staff to ensure timely, quality treatment access.

The role demands clinical knowledge, exceptional organization, and the ability to build partnerships across provider networks and multidisciplinary teams.

Qualifications

• 2+ years of experience with Arizona behavioral health system and related resources.
• Proficiency in Microsoft Office, especially Excel, and electronic documentation systems.
• Willingness to travel up to 10% 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 distribution of referrals, tracking provider responses, and maintaining accurate 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 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.
• Apply care coordination principles, clinical judgment, and established policies and procedures to promote quality outcomes and appropriate resource utilization.

Skills

Arizona behavioral health system

Microsoft Office (Excel)

Electronic documentation systems

Travel readiness

Education

Bachelor's degree in related field

Job description

CVS Health is seeking a Behavioral Health Residential Coordinator to manage admissions and referrals for out-of-home residential treatment, coordinating with utilization management teams, residential providers, and care management staff to ensure timely, quality treatment access.

The role demands clinical knowledge, exceptional organization, and the ability to build partnerships across provider networks and multidisciplinary teams.