What are the responsibilities and job description for the Care Planner position at CVS Health?
Job Description
Provide support and service to behavioral health clinical teams in support of member engagement and care.
Schedule is Monday-Friday standard business hours. No nights, no weekends and no holidays.
REMOTE
Fundamental Components
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 care manager. Administers appropriate structured functional assessments and out come tools including but not limited to SF12, CAGE, PHQ9, WLQ. Educates members about available web-based resources. Under 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 benefit 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 member. 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. Exhibits behaviors outlined in Employee Competencies.
Background Experience
Minimum of 2 years behavioral health care experience.
EDUCATION
Bachelors Degree in Psychology or Social Services
Education
Bachelor's degree or equivalent experience
Percent of Travel Required
0 - 10%
Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. 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.
Provide support and service to behavioral health clinical teams in support of member engagement and care.
Schedule is Monday-Friday standard business hours. No nights, no weekends and no holidays.
REMOTE
Fundamental Components
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 care manager. Administers appropriate structured functional assessments and out come tools including but not limited to SF12, CAGE, PHQ9, WLQ. Educates members about available web-based resources. Under 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 benefit 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 member. 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. Exhibits behaviors outlined in Employee Competencies.
Background Experience
Minimum of 2 years behavioral health care experience.
EDUCATION
Bachelors Degree in Psychology or Social Services
Education
Bachelor's degree or equivalent experience
Percent of Travel Required
0 - 10%
Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. 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.
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