Behavioral Health Residential Coordinator (Arizona)

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

• →Coordinate residential treatment facility referrals and admissions for members approved for out-of-home behavioral health residential treatment across multiple levels of care.
• →Based on members’ treatment needs, Residential Coordinators 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.

• 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.

• Resides in Arizona.
• 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.

• Bachelor's degree in Behavioral Health, Psychology, Social Work, Human Services, Healthcare Administration, or a related field.

The typical pay range for this role is:

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.