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CVS Health · 2 hours ago

Behavioral Health Care Planner Analyst - Work at home

United States

Full-time

Remote

Entry Level

$21.10/hr - $40.90/hr

2+ years exp

CVS Health is the nation’s leading health solutions company, dedicated to transforming health care. The Analyst, Care Planner Behavioral Health role involves providing comprehensive behavioral health care management support to ensure quality care delivery and improve operational efficiency.

Health CareMedicalPharmaceuticalRetailSales

Responsibilities

Provides comprehensive support and service to behavioral health clinical teams in support of member engagement and to facilitate delivery of appropriate quality care and improve program/operational efficiency involving clinical issues

Provides outreach to members to educate them about available specialty programs and to solicit their participation

Assists members locate services. Facilitates follow-up calls

Collects information on patient progress and adherence to treatment plan

Provides information to members regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and Aetna policies and procedures

Works closely with the clinician to insure healthy outcomes for the member

Miscellaneous administrative duties such as Provider/ community resource searches, handling Transition of Care requests, executing letters of agreement with non-par providers, obtaining discharge verifications and non-complex authorizations

Work requires sitting for extended periods, talking on the telephone and typing into the computer

Monitor referral task lists in multiple systems

Log and assign new case management cases to Case managers across department

Verify eligibility for case management by verifying member's insurance coverage

Ensure applicable turn around times are met

Participates in designated team meetings with team members and clinical staff

Adheres to compliance and Patient Management policies and regulatory requirements

Maintains accurate and complete documentation of required information meeting risk management, regulatory, and accreditation requirements

Participates in designated clinical quality management initiatives

Qualification

Behavioral Health ExperienceCustomer Service ExperienceManaged Care ExperiencePsychology ExperienceSocial Services ExperienceComputer Skills

Required

Associates Degree Required - Preference to Behavioral Health Field

2 or more years of Behavioral Health Experience

2 + years Behavioral Health care experience

Previous Customer Service experience

Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding

Preferred

Previous Managed Care experience

Psychology or Social Services experience

Benefits

Affordable medical plan options

401(k) plan (including matching company contributions)

Employee stock purchase plan

No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching

Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.