CVS Health Hiring for Care Planner, Behavioral Health (Fully Remote) at Tennessee Full Time

• 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 Care Planner, Behavioral Health role provides comprehensive behavioral health care management to facilitate delivery of appropriate quality care and improve program/operational efficiency involving clinical issues.

Additional Responsibilities Include but not limited to the following:

• Provides support and service to behavioral health clinical teams in support of member engagement and care.
• Collects data from designated administrative sources

and reviews findings in order to identify potential

enrollees for clinical specialty programs.

• Provides outreach to members to educate them about

available specialty programs and to solicit their

participation.

• Administers structured pre-screening questionnaire in

order to provide relevant member information to care

manager so that clinical assessment process can be

facilitated by the care manager.

• Administers appropriate structured functional

assessments and outcome tools including but not limited

to SF12, CAGE, PHQ9, WLQ.

• Educates members about available web-based

resources.

• Under the direction of clinical management staff and

supported by care associates, 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.

• Serves as primary behavioral health point of contact for

members.

• Supports the development and implementation of

behavioral health treatment plans, functioning as an

integral member of the care management team.

• Participates in designated team meetings and case

rounds with other clinical and medical 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.

Pay Range
The typical pay range for this role is:
Minimum: 19.50
Maximum: 40.10

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

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.

Business Overview
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. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.