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　　Work at home with requirement to reside in Virginia in the Tidewater region.

　　10-15% of expected travel.

　　Monday-Friday standard business hours with occasional holiday rotation.

　　Position Summary:The BH Clinical Liaison/BH Coordinator is a clinical leader in the Medicaid plan focusing on 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 State governments, key stakeholders, community organizations, advocacy groups as well as the Medicaid Plans Chief Medical Officer and leadership team to enhance the quality of services provided to Aetna members and to ensure adherence to performance targets of the business area.Fundamental Components:- Partners with Plan executive leadership team to provide overall vision and leadership across all Plan activities.

　　Serves as a key resource regarding any issues related to the integration of member care across departments.

　　Drives collaboration on quality of care, utilization management, disparities and care coordination to ensure optimal member outcomes.

　　Partners with AETNA Community Outreach Team and Health Care Equity Director to develop strategies with key stakeholders to improve integration efforts and optional care delivery to members. -Ensures compliance with DHH and other requirements.

　　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 including critical stakeholders such as various departments of state government, provider organizations, advocacy organizations, etc.

　　Partners with Aetna Medicaid’s regional psychiatrist(s) to manage and oversee ICM within the health plan.

　　Provides consultation to support physicians at other Medicaid Plans.

　　Participates in organizational planning, including strategic plans, business plans, and new product development.

　　Elicits staff input related to their job functions and leverages errors and failure to reach performance targets as opportunities for organizational learning and improvement.

　　Supports and encourages CM, UM and DM staff to function as interdisciplinary team, with requisite range and depth of subject matter expertise to meet the needs of the covered population.

　　Represents Plan to relevant external stakeholders, such as state government officials, providers/vendors, & advocacy groups with regard to quality improvement initiatives, integrating member care, health plan success, and innovative care strategies.

　　With plan's physician leader, co-facilitates interdisciplinary case rounds to address the needs of members with complex clinical presentations, identifies opportunities for improving rounds, and works with the clinical leadership team to optimize the value of rounds to the clinical staff.

　　Demonstrates knowledge about established and evolving biomedical, clinical, epidemiologic and social-behavioral sciences and the application of this knowledge to member care.

　　Participates/ supports process improvement initiatives within care management and across broader Plan operations.

　　Demonstrated leadership competency and strong relationship builder; self-motivated and confident making decisions, ability to influence and shape clinical outcomes, a strong clinical consultant.

　　Possesses strong analytical, verbal and written communication skills; demonstrated ability to communicate effectively with all levels of management, including senior leadership.

　　Requirements:

　　Minimum 5+ years clinical experience.

　　Minimum 5+ years of behavioral health, mental health, or psychiatric care experience.

　　Minimum of 2+ years of experience using MS Office Suite, WORD, Excel, Outlook, etc. and strong keyboard navigation skills are required.

　　One of the following active unrestricted Virginia licenses is required: LPC, LCSW, LMFT, RN, LSATP, LBA, BCBA.

　　Preferences:

　　Experience with delivery/supervision of community based Medicaid behavioral health services strongly preferred.

　　Minimum 5+ years experience required working for a managed care organization (MCO).

　　Clinical and program oversight experience, preferably in behavioral health, mental health, psychiatric care.

　　Utilization management experience preferred.

　　Previous supervisory experience, overseeing a care management team within a managed care and/or health plan setting.

　　Education:The minimum required level of education is a Master’s degree or Bachelor's degree if a Registered Nurse.

　　Pay Range

　　The typical pay range for this role is:

　　$80,340.00 - $173,000.00

　　This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

　　CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

　　You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

　　CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through [email protected] If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.