Behavioral Health Care Planner, Analyst
CVS Health
full-time
Posted on:
Location Type: Remote
Location: Remote • Idaho, Pennsylvania, Texas • 🇺🇸 United States
Visit company websiteSalary
💰 $21 - $41 per hour
Job Level
JuniorMid-Level
About the role
- Provides comprehensive support and service to behavioral health clinical teams in support of member engagement
- 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 ensure 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 the department
- Verify eligibility for case management by verifying member's insurance coverage
- Ensure applicable turnaround 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
Requirements
- Associates Degree Required - Preference to Behavioral Health Field
- 2 or more years of Behavioral Health Experience
- Previous Customer Service experience
- Proficiency with computer skills which includes navigating multiple systems and keyboarding
- Previous Managed Care experience (Preferred)
- Psychology or Social Services experience (Preferred)
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
- Financial coaching
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
case managementpatient progress trackingtreatment plan adherenceeligibility verificationadministrative dutiestransition of caredocumentationrisk managementaccreditation compliancecustomer service
Soft skills
member engagementcommunicationteam collaborationoutreachproblem-solvingorganizational skillsattention to detailinterpersonal skillsfollow-upparticipation in meetings
Certifications
Associates DegreeBehavioral Health Field