Behavioral Health Care Planner, Analyst
CVS Health
full-time
Posted on:
Location Type: Remote
Location: Idaho • Pennsylvania • United States
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Salary
💰 $21 - $41 per hour
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 & Tools
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