Behavioral Health Clinical Liaison, Charlottesville/Western Region - VA - Remote
Work At Home-Virginia
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
Must reside in Virginia in the Charlottesville/Western Region in one of the following counties: Albemarle, Danville, Nelson, Amherst, Fluvanna, Orange, Appomattox, Greene, Pittsylvania, Augusta, Halifax, Rockingham, Buckingham, Harrisonburg, Staunton, Campbell, Louisa, Waynesboro, Charlotte, Lynchburg, Charlottesville, Madison.
Potential for up to 10% of travel in the Charlottesville/Western Region.
Schedule: Monday- Friday 8-5 with occasional on call holiday weekend coverage required.
The BH Clinical Liaison is a clinical leader in the Medicaid plan focusing on utilization management, integrating member care, clinical coordination, leading the development, implementation and ongoing monitoring of program and quality initiatives to address the needs of Aetna members.
They represent the plan and collaborate with internal partners, community organizations, and behavioral health and ARTS providers to enhance the quality of services provided to Aetna members and to ensure adherence to performance targets of the business area.
Fundamental Components:
Clinically manage non-traditional mental health services and addiction recovery and treatment services through the utilization management process
Drives collaboration on quality of care, utilization management, disparities and care coordination to ensure optimal member outcomes.
Outreach to high utilizers to support treatment coordination, transitions of care, and appropriate discharge planning
Serve as the behavioral health subject matter expert to support care management staff in serving Aetna members in the respective region
Interface with community stakeholders to foster collaboration and provide education and training
Consults with Plan executive management regarding physical and behavioral health clinical issues as they relate to medical management (UM, CM, DM) provider and system of care issues, behavioral health and human services system issues
Supports and encourages CM and UM staff to function as interdisciplinary team, with requisite range and depth of subject matter expertise to …
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CVS store discount Development courses Disability benefits Discount Programs Education assistance Employee stock purchase plan Flexible schedule Full range of medical, dental, and vision benefits Full-time Fully-paid term life insurance Healthcare Benefits Life Insurance Medical, dental, and vision benefits Paid holidays Paid Time Off Remote work Term Life Insurance Vision Benefits Well-being programs
Tasks- Collaborate with stakeholders
- Coordinate member care
- Manage mental health services
- Process Improvement
Addiction recovery Behavioral health Care Coordination Care management Clinical Management Collaboration Community outreach Computer Discharge planning Excel Health care Interdisciplinary Collaboration Leadership Managed Care MS Office Organization Outlook Process Improvement Quality improvement RN Teams Training and education Utilization management
Experience5 years
EducationBachelor Bachelor's Bachelor's degree RN
Certifications TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9