Behavioral Health Care Planner, Analyst

Job Description: • 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 Apply tot his job Apply To this Job