Behavioral Health Care Planner Analyst - Work at home

CVS Health

7d • $21 - $41 • Remote

About The Position

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary- Associates Degree Required - Preference to Behavioral Health Field 2 or more years of Behavioral Health Experience Schedule: Monday - Friday 8:00 AM - 5:00 PM (No nights, no weekends and no Holidays) The Analyst, Care Planner Behavioral Health role provides comprehensive behavioral health care management support to facilitate delivery of appropriate quality care and improve program/operational efficiency involving clinical issues.

Requirements

• 2 + years Behavioral Health care experience.
• Previous Customer Service experience.
• Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.

Nice To Haves

• Previous Managed Care experience.
• Psychology or Social Services experience.

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
• 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

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees