Behavioral Health Care Planner

CVS Health

Behavioral health care planner coordinating member reviews and documentation for Aetna/CVS Health. Preparing determination letters, scheduling clinical reviews, and supporting regulatory compliance.

Posted 8/4/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-Level💰 $21 - $45 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates proficiency in administrative support within healthcare, including strong organizational skills, attention to detail, and effective communication. Familiarity with health insurance processes and mental health care coordination is essential.

Highest-signal resume keywords

Health Insurance ExperienceMicrosoft Office Suite ProficiencyOrganizational SkillsWritten and Verbal CommunicationAttention to Detail

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Administrative SupportMedical Necessity DeterminationDocumentation GatheringTyping 60–70 Words Per MinuteUnderstanding of Commercial Insurance ProductsUnderstanding of Mental Health Levels of Care

Soft Skills

Time ManagementProblem-Solving

Tools & Technologies

Microsoft OutlookMicrosoft WordMicrosoft Excel

Certifications & Qualifications

Associate Degree or Equivalent Experience

Industry Keywords

HealthcareMental HealthSubstance AbuseComplianceAetna Policies

About the role

Key responsibilities & impact

Support clinical teams to enhance the quality and coordination of member care
Prepare administrative and medical-necessity determination letters
Communicate medical review results to providers and utilization teams, including next steps
Schedule and coordinate appointments between providers and Aetna Medical Directors or Consultants
Gather documentation for clinical appointments
Track deadlines to ensure timely completion
Ensure compliance with state requirements and Aetna policies
Collaborate with Medical Directors, clinicians, and customer service teams on higher-level case reviews

Requirements

What you’ll need

2+ years of experience in health insurance, administrative/secretarial work, or customer service within a healthcare or mental health environment
Ability to type 60–70 words per minute
Proficiency with Microsoft Office Suite, including Outlook, Word, and Excel
Strong organizational and time-management abilities
Excellent written and verbal communication skills
Understanding of commercial insurance products
Understanding of mental health and substance abuse-related levels of care
Strong attention to detail and problem-solving ability
Associate degree or equivalent experience, including healthcare industry experience
Availability Monday–Friday, 11:00 AM–7:30 PM EST; some company holiday and weekend coverage may be required

Benefits

Comp & perks

CVS Health bonus, commission or short-term incentive program in addition to base pay
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being