Behavioral Health Residential Care Navigator

Voices for Voices; Oregon; Hybrid; USD 29,000 - 68,000; Full time

Job summary

CVS Health is seeking a Behavioral Health Residential Coordinator to coordinate admissions for out-of-home behavioral health residential services. You will liaise with utilization management teams, residential providers, and care management staff to ensure timely access to appropriate treatment settings.

The role requires clinical knowledge, strong organizational skills, and the ability to build collaborative relationships across provider networks.

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.
• Serve as a primary point of contact for residential treatment providers, behavioral health homes, and internal stakeholders regarding facility-related questions, concerns, 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.

Skills

Excel

Electronic documentation systems

Microsoft Office

Education

Bachelor4s degree in Behavioral Health, Psychology, Social Work, Human Services, Healthcare Administration, or a related field

Job description

CVS Health is seeking a Behavioral Health Residential Coordinator to coordinate admissions for out-of-home behavioral health residential services. You will liaise with utilization management teams, residential providers, and care management staff to ensure timely access to appropriate treatment settings.

The role requires clinical knowledge, strong organizational skills, and the ability to build collaborative relationships across provider networks.