Residential Behavioral Health Care Navigator

Preferra Insurance; Michigan; Hybrid; USD 29,000 - 68,000; Full time

Job summary

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

The role requires strong clinical knowledge and exceptional organizational skills to support collaboration across provider networks and

Qualifications

• Bachelor's degree in Behavioral Health, Psychology, Social Work, or related field.
• Minimum 2+ years in behavioral health system or related operations.
• Proficiency in Microsoft Office, especially Excel, and electronic documentation systems.

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.

Skills

Communication

Organizational skills

Problem-solving

Travel readiness

Cultural competence

Education

Bachelors degree in Behavioral Health or related field

Tools

Microsoft Excel

Electronic documentation systems

Job description

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

The role requires strong clinical knowledge and exceptional organizational skills to support collaboration across provider networks and