Behavioral Health Residential Care Navigator

CVS Health Corporation; Missouri; Hybrid; USD 29,000 - 68,000; Full time

Benefits offered by this job

Medical, dental and vision benefits

Paid time off

Retirement plan

Wellness programs

Comprehensive benefits

Job summary

CVS Health Corporation is seeking a Behavioral Health Residential Coordinator to coordinate residential treatment admissions for members requiring out-of-home behavioral health services.

You will serve as a key liaison between utilization management teams, behavioral health homes, residential treatment providers, care management staff, and other external stakeholders to ensure timely access to appropriate, quality care.

Qualifications

• 2+ years of experience with Arizona behavioral health system and related operations.
• Proficiency in Microsoft Office applications (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 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 documenting facility activities.
• Collaborate with behavioral health homes, treating providers, and community partners to ensure timely submission of clinical information for facility reviews.
• Monitor referral status and facility timelines to promote timely access to care and minimize delays in treatment facilities.
• Serve as primary 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.
• Facilitate meetings with residential providers to support collaboration and improve facility outcomes.
• Partner with Care Management, Utilization Management, Quality Management, and other departments to support continuity of care.

Skills

Microsoft Excel

Electronic documentation systems

Travel coordination

Education

Bachelor's degree in Behavioral Health or related field

Tools

Electronic health record systems

Job description

CVS Health Corporation is seeking a Behavioral Health Residential Coordinator to coordinate residential treatment admissions for members requiring out-of-home behavioral health services.

You will serve as a key liaison between utilization management teams, behavioral health homes, residential treatment providers, care management staff, and other external stakeholders to ensure timely access to appropriate, quality care.