Analyst, Care Planner Behavioral Health

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues—caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

Fully remote position. Work from home anywhere in the U.S. Schedule: Monday - Friday 11:00am - 7:30pm EST.

• 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.

Required Qualifications

• 2 years Behavioral Health care experience.
• Previous Customer Service experience.
• Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.

Preferred Qualifications

• Previous Managed Care experience.