[Remote] Behavioral Health Care Planner Analyst - Work at home

Note: The job is a remote job and is open to candidates in USA. CVS Health is the nation’s leading health solutions company, dedicated to transforming health care. The Behavioral Health Care Planner Analyst role provides comprehensive behavioral health care management support to improve program efficiency and facilitate quality care delivery. Responsibilities • Provides comprehensive support and service to behavioral health clinical teams in support of member engagement and to facilitate delivery of appropriate quality care and improve program/operational efficiency involving clinical issues • 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 insure 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 • Work requires sitting for extended periods, talking on the telephone and typing into the computer • Monitor referral task lists in multiple systems • Log and assign new case management cases to Case managers across department • Verify eligibility for case management by verifying member's insurance coverage • Ensure applicable turn around 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 Skills • Associates Degree Required - Preference to Behavioral Health Field • 2 or more years of Behavioral Health Experience • 2 + years Behavioral Health care experience • Previous Customer Service experience • Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding • Previous Managed Care experience • Psychology or Social Services experience • Associates Degree OR equivalent combination of education and experience 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 and financial coaching • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility Company Overview • CVS Health is a health solutions company that provides an integrated healthcare services to its members. It was founded in 1963, and is headquartered in Woonsocket, Rhode Island, USA, with a workforce of 10001+ employees. Its website is https://www.cvshealth.com/. Apply tot his job Apply To this Job