Behavioral Health Care Planner, Analyst
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Behavioral Health Care Planner Analyst at CVS Health supporting clinical teams in delivering quality care. Managing member engagements and administrative duties within behavioral health care.
Responsibilities:
- 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
Report this job
Job expired or something wrong with this job?
Similar Jobs
Senior Reimbursement Analyst – Medicare, Medicaid Cost Reports
Sr. Reimbursement Analyst handling all aspects of Medicare Medicaid Cost Reports in a fully remote capacity. Responsible for financial analysis and regulatory compliance for reimbursement processes.
Analyst
Analyst leveraging Catalist data resources to support client inquiries and internal projects. Collaborating with multi-disciplinary teams to enhance civic engagement through data science.
Analyst, Insights & Evidence
Analyst role at Real Chemistry focused on healthcare research and value synthesis. Supporting projects with evidence generation and clear decision-ready insights for clients.
Senior Analyst, Revenue Management – Network Analytics
Senior Analyst maximizing profitability through revenue management and network analytics for Aero's premium flights. Collaborating on demand forecasting and strategic decisions.
Performance Test Lead Analyst
Performance Test Lead Analyst with strong end-to-end testing expertise in performance and non-functional testing. Leading performance testing activities in Agile teams for critical applications.
Embedded Triage Analyst
Embedded Triage Analyst identifying and escalating extremist content for a global communications platform. Working remotely to support a client in maintaining safe online environments.
Implementation Analyst
Implementation Analyst handling onboarding for new Employee Benefits groups in USA. Ensuring accurate contract drafting, billing, and facilitating smooth transitions to ongoing service.
Asistente, Analista Administrativo
Asistente / Analista Administrativo gestionando procesos administrativos en remoto para Manpower Group en Colombia. Apoyando operaciones financieras y atención al cliente mientras se trabaja en un entorno innovador.
Senior Epic Analyst, Ambulatory
Senior Epic Analyst leading the analysis and development of solutions for clinical processes at Prisma Health. Responsible for managing Epic modules and supporting internal healthcare customers.
Senior Compensation Analyst
Senior Compensation Analyst at CannonDesign responsible for the design and administration of competitive compensation programs including pay and incentives.
Logistics Analyst
Logistics Analyst overseeing end-to-end order management and shipping issue resolution in a high-tech environment for Akamai's global logistics team.
Senior Import Analyst
Imports Senior Analyst managing CVS vendor finance processes ensuring compliance with international supply chain regulations. Collaborating with various stakeholders to deliver accurate financial data and issue resolution.
Mid-level Installations Analyst – HVAC Projects
HVAC Analyst developing energy-efficient HVAC projects in Revit for Método Grupo. Collaborating with installation team to ensure compliance with standards and optimizing systems for performance.
Analista de Orçamentos Jr.
Junior Budget Analyst involved in project budgeting and analysis at Método Engenharia, focusing on architectural and engineering projects.
Associate Account Service Analyst
Associate Account Service Analyst managing transactional service needs for Mid-Market clients. Building client trust through efficient execution and developing product knowledge.
Senior Deal Desk Analyst – Temp
Senior Deal Desk Analyst supporting commercial-related activities, including deal structuring and pricing, at SaaS company AuditBoard.
Trust Services Analyst
Trust Services Analyst supporting compliance team at fast-growing startup. Completing security questionnaires and vendor risk assessments using compliance resources.
Real Time Analyst
Real Time Analyst ensuring service levels for Operations accounts by managing queues and performance metrics. Collaborating with Team Captains and Management to improve account performance.