Behavioral Health Care Planner Analyst

CVS Health

2d • $21 - $45 • Remote

About The Position

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. Job Summary Fully remote. Work anywhere in the U.S. Schedule: Monday - Friday 8:30 AM - 5:00 PM EST (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.
• 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
• Required to use a residential broadband service with internet speeds of at least 25 mbps/3mbps in order to ensure sufficient speed to adequately perform work duties. Some candidates may be eligible for partial reimbursement of the cost of residential broadband service

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