Introduction to CVS Health and Our Mission
At CVS Health, we are driven by a singular purpose: to bring our heart to every moment of your health. This guiding principle shapes our commitment to delivering enhanced, human-centric healthcare in a rapidly changing world. Our brand, with heart at its center, sends a personal message that how we deliver our services is just as important as what we deliver. We strive to empower every individual who works at CVS Health, feeling valued by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make healthcare more personal, convenient, and affordable.
Position Overview
We are seeking an experienced Behavioral Health Clinical Liaison to join our team in the Central Region of Virginia. As a clinical leader in our Medicaid plan, you will focus on utilization management, integrating member care, clinical coordination, and leading the development, implementation, and ongoing monitoring of program and quality initiatives to address the needs of Aetna members. This role represents a unique opportunity to make a meaningful impact on the lives of our members and to collaborate with internal partners, community organizations, and behavioral health and ARTS providers to enhance the quality of services provided.
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.
- Conduct 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.
- Consult 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.
- Support and encourage CM and UM staff to function as an interdisciplinary team, with requisite range and depth of subject matter expertise to meet the needs of the covered population.
- Represent the Plan to relevant external stakeholders, providers/vendors, & advocacy groups with regard to quality improvement initiatives, integrating member care, health plan success, and innovative care strategies.
- Participate in interdisciplinary case rounds to address the needs of members with complex clinical presentations, identify opportunities for improving rounds, and work with the clinical leadership team to optimize the value of rounds to the clinical staff.
- Demonstrate knowledge about established and evolving biomedical, clinical, epidemiologic, and social-behavioral sciences and the application of this knowledge to member care.
- Participate in/support process improvement initiatives within care management and across broader Plan operations.
Essential Qualifications
- Must reside within the DMAS (Department of Medical Assistance Services) Central Region, specifically in one of the following counties: Amelia, Brunswick, Caroline, Charles City, Chesterfield, Colonial Heights, Cumberland, Dinwiddie, Emporia, Essex, Franklin City, Fredericksburg, Goochland, Greensville, Hanover, Henrico, Hopewell, King And Queen, King George, King William, Lancaster, Lunenburg, Mathews, Mecklenburg, Middlesex, New Kent, Northumberland, Nottoway, Petersburg, Powhatan, Prince Edward, Prince George, Richmond City, Richmond Co. Southampton, Spotsylvania, Stafford, Surry, Sussex, Westmoreland.
- 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 of experience with delivery of community-based Medicaid behavioral health services.
- 5+ years of clinical experience in one or more of the following areas: behavioral health, mental health, psychiatric care, and/or substance use.
- 2+ years of experience using personal computer, keyboard navigation, navigating multiple systems and applications; and using MS Office Suite applications (Teams, Outlook, Word, Excel, etc.).
Preferred Qualifications
- 2+ years of experience preferred working for a managed care organization (MCO).
- 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.
Education
- If an LPC, LCSW, LMFT, BCBA, LBA, a Master’s degree in a behavioral health field is required.
- If an RN, a Bachelor's degree is required.
Career Growth Opportunities and Learning Benefits
At CVS Health, we are committed to helping our colleagues grow professionally and personally. As a Behavioral Health Clinical Liaison, you will have access to a range of learning and development opportunities, including training programs, workshops, and conferences. You will also have the chance to work with a talented team of professionals who are passionate about delivering exceptional care and making a positive impact on the lives of our members.
Work Environment and Company Culture
Our company culture is built on a foundation of respect, empathy, and inclusivity. We believe in creating a work environment that is supportive, collaborative, and empowering, where everyone feels valued and able to contribute their best work. As a Behavioral Health Clinical Liaison, you will be part of a dynamic team that is dedicated to making a difference in the lives of our members and in the communities we serve.
Compensation, Perks, and Benefits
We offer a competitive salary range of $80,340.00 - $173,040.00 per year, depending on experience and qualifications. In addition to your compensation, you will enjoy a range of benefits, including medical, dental, and vision coverage, a 401(k) retirement savings plan, an Employee Stock Purchase Plan, and a fully-paid term life insurance plan. You will also have access to numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, you will enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year.
Conclusion
If you are a motivated and compassionate professional with a passion for delivering exceptional care and making a positive impact on the lives of others, we encourage you to apply for this exciting opportunity. As a Behavioral Health Clinical Liaison at CVS Health, you will be part of a talented team that is dedicated to delivering innovative solutions and making a difference in the lives of our members. Don’t miss this chance to grow your career and make a meaningful contribution to the healthcare industry. Apply today!
Apply now and join our team of dedicated professionals who are passionate about delivering exceptional care and making a positive impact on the lives of others.
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