CVS Health · 1 day ago
Behavioral Health Care Planner Analyst
CVS Health is dedicated to building a world of health around every individual. The Analyst, Care Planner Behavioral Health role provides comprehensive behavioral health care management support to facilitate delivery of appropriate quality care and improve program efficiency involving clinical issues.
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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
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
Qualification
Required
2 years Behavioral Health care experience
Previous Customer Service experience
Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
Associates Degree OR equivalent combination of education and experience
Preferred
Previous Managed Care experience
Psychology or Social Services experience
Benefits
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an 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
CVS Health
CVS Health is a health solutions company that provides an integrated healthcare services to its members.
Funding
Current Stage
Public CompanyTotal Funding
$4BKey Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity
Leadership Team
Recent News
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