Analyst, Care Planner

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
 
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. Work anywhere in the U.S. 
*Schedule: Monday - Friday 8:00 AM - 5:00 PM (No nights, no weekends and no Holidays) 
The Analyst, Care Planner Behavioral Health role provides comprehensive behavioral health care management support to facilitate delivery of appropriate quality care and improve program/operational efficiency involving clinical issues. 
Additional Responsibilities Include but not limited to the following: 
• 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  
• Provides support and service to behavioral health clinical teams in support of member engagement and care. 
• Provides outreach to members to educate them about available specialty programs and to solicit their 
participation. 
• Educates members about available web-based resources. 
• Under the direction of clinical management staff, conducts case management-related research and coordinates both 
internal and external resources, assisting members with claim and benefits issue resolution, referrals to EAP, 
referrals to legal and financial services, and referrals to community support services. 
•Complete provider searches on behalf of members by searching and calling providers to check network status and availability  
•Assist with special projects including but not limited to assisting with network deficiencies, completion of audit templates, coordination of flow control, etc 
• 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

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. 
• Bilingual 

Education
Associates Degree OR equivalent combination of education and experience 

Pay Range

The typical pay range for this role is:

$21.10 - $36.78

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experien