Behavioral Health Clinical Liaison
4 days ago
CVS Health is seeking a highly skilled Behavioral Health Clinical Liaison to join our team. As a key member of our Medicaid plan, you will be responsible for leading the development, implementation, and ongoing monitoring of program and quality initiatives to address the needs of Aetna members.
Key Responsibilities- Clinically manage non-traditional mental health services and addiction recovery and treatment services through the utilization management process
- Drive 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
- Must reside within the Virginia
- One of the following licenses in the state of Virginia is required: LPC, LCSW, LMFT, BCBA, LBA, or an RN with 5+ years of behavioral health experience
- 2+ years experience with delivery of community-based Medicaid behavioral health services
- 5+ years clinical experience in behavioral health, mental health, psychiatric care
- 2+ years' experience using personal computer, keyboard navigation, navigating multiple systems and applications; and using MS Office Suite applications (Teams, Outlook, Word, Excel, etc.)
- Experience in completing utilization management tasks
- Demonstrated leadership competency and strong relationship builder; self-motivated and confident making decisions
- Ability to influence and shape clinical outcomes, a strong clinical consultant
- Demonstrated ability to communicate effectively with all levels of management, including senior leadership
- Ability to work independently
- 2+ years experience required working for a managed care organization (MCO)
- If an LPC, LCSW, LMFT, BCBA, LBA, a Master's degree in behavioral health field is required
- If an RN, Bachelor's degree is required
CVS Health offers a comprehensive benefits package, including medical, dental, and vision benefits, 401(k) retirement savings plan, and employee stock purchase plan. We also offer a fully-paid term life insurance plan, short-term and long-term disability benefits, and numerous well-being programs. Additionally, CVS Health provides education assistance, free development courses, a CVS store discount, and discount programs with participating partners.
As a CVS Health employee, you will enjoy paid time off, paid holidays, and sick time. We are an equal opportunity and affirmative action employer, and 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.
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Richmond, Virginia, United States CVS Health Full timeAbout the RoleWe are seeking a highly skilled Behavioral Health Clinical Liaison to join our team at CVS Health. As a key member of our Medicaid plan, you will play a critical role in delivering high-quality behavioral health services to our members.Key ResponsibilitiesDevelop and implement program and quality initiatives to address the needs of Aetna...
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