Behavioral Health Care Planner

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Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary :

Fully remote position. Work from home anywhere in the U.S

Schedule: Monday - Friday 8:00am - 5:00pm

• 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 to use a residential broadband service with internet speeds of at least 25 mbps/3mbps in order to ensure sufficient speed to adequately perform work duties. Some candidates may be eligible for partial reimbursement of the cost of residential broadband service

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.

• Psychology or Social Services experience.

Education:

• Associates Degree OR equivalent combination of education and experience.

Pay Range

The typical pay range for this role is:

This …