Care Planner Behavioral Health

CVS Health•Work At Home-Pennsylvania, PA

3d•$21 - $41•Remote

About The Position

The Care Planner Behavioral Health provides comprehensive support and service to behavioral health clinical teams to engage members, facilitate appropriate quality care, and improve program and operational efficiency involving clinical issues. The role is fully remote and may be performed from home anywhere in the U.S. The schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m. in the employee’s time zone. The Care Planner conducts member outreach about specialty programs and encourages participation; helps members locate services and arranges follow-up calls; and gathers information on patient progress and adherence to treatment plans. The role also provides information about mental health and substance abuse benefits, community treatment resources, managed care programs, and Aetna policies and procedures. The Care Planner works closely with clinicians to support healthy member outcomes and performs administrative duties such as provider and community resource searches, Transition of Care requests, letters of agreement with non-par providers, discharge verifications, and non-complex authorizations. The work involves sitting for extended periods, talking on the telephone, and typing into a computer. The position requires wired residential broadband with internet speeds of at least 25 Mbps download and 3 Mbps upload; some candidates may be eligible for partial reimbursement of residential broadband costs.

Requirements

At least 2 years of behavioral health care experience.
At least 1 year of customer service experience.
Proficiency with computer skills, including navigating multiple systems and keyboarding.
Use wired residential broadband service with internet speeds of at least 25 Mbps download and 3 Mbps upload.
An associate degree or an equivalent combination of education and experience.

Nice To Haves

Bilingual ability, preferably Spanish, though any language is considered.
Previous managed care experience.
Psychology or social services experience.

Responsibilities

Provide comprehensive support to behavioral health clinical teams to support member engagement, delivery of appropriate quality care, and program and operational efficiency.
Contact members to educate them about specialty programs and encourage participation.
Help members locate services and facilitate follow-up calls.
Collect information about patient progress and adherence to treatment plans.
Provide members with information about mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and Aetna policies and procedures.
Work closely with clinicians to support healthy outcomes for members.
Perform administrative duties, including provider and community resource searches, handling Transition of Care requests, executing letters of agreement with non-par providers, obtaining discharge verifications, and processing non-complex authorizations.