Behavioral Health Residential Coordinator

Job not on LinkedIn

🔥 17 hours ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $21 - $49 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Coordinate residential treatment facility referrals and admissions for members approved for out-of-home behavioral health residential treatment across multiple levels of care • Identify clinically appropriate participating residential treatment providers based on members’ treatment needs • Manage residential referrals by distributing referrals, tracking provider responses, and maintaining accurate facility activity documentation • 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 treatment delays • Serve as a primary contact for residential treatment providers, behavioral health homes, and internal stakeholders regarding facility-related questions and coordination needs • Respond to facility disruptions, denials, or changes in member circumstances by coordinating alternative treatment options • Participate in utilization management rounds and interdisciplinary case reviews; present member cases and provide operational support • 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 departments to support continuity of care • Identify and elevate concerns and assist leadership with addressing them • Maintain accurate case documentation, referral records, and tracking tools according to organizational, regulatory, and departmental requirements • Support departmental projects, process improvements, reporting activities, and operational initiatives related to residential treatment coordination and utilization management • Apply care coordination principles, clinical judgment, and established policies to promote quality outcomes and appropriate resource utilization • Perform other duties as assigned

🎯 Requirements

• 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 • Bachelor's degree in Behavioral Health, Psychology, Social Work, Human Services, Healthcare Administration, or a related field • Experience working in behavioral health utilization management, case management, care coordination, discharge planning, residential treatment, or a related healthcare setting • Experience coordinating services with residential treatment providers, behavioral health homes, and community partners • Knowledge of Medicaid managed care and Arizona behavioral health regulations and processes • Experience working with adolescent behavioral health populations • Strong critical thinking, problem-solving, and decision-making skills • Ability to assess complex situations, prioritize competing demands, and respond effectively in urgent circumstances • Excellent organizational skills with the ability to manage multiple cases, referrals, and deadlines simultaneously • Effective verbal and written communication skills with diverse clinical staff, members, providers, behavioral health homes, and community partners • Ability to build collaborative relationships and work effectively across interdisciplinary teams • Ability to handle sensitive and confidential information ethically and responsibly • Digital literacy and ability to function effectively in a virtual, desk-based work environment • Cultural competence and commitment to providing person-centered services to diverse populations

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program in addition to base pay