Behavioral Health Care Planner - Analyst
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. Position Summary 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.
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 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.
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.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
