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Recovery and Resiliency Administrator - WV MCD

Primary Location: Charleston, WV
Additional Locations: WV-Charleston
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Description:
Aetna Better Health of WV (ABHWV) is honored to join the WV Department of Health and Human Services (DHHR) in its mission to keep children safe at home. ABHWV will welcome you to a dynamic team of mission driven individuals who believe that foster children deserve better. At the end of the day, this is about giving children a chance to thrive and supporting all families in our community.

The Recovery and Resiliency Administrator has been established to take a leadership role in creating opportunities for and confirming peer and family involvement at all levels of the system. This office will work closely with the State Department. This office is led and staffed by individuals with lived experience and/or family members of persons experiencing mental health challenges. The Recovery and Resiliency Administrator chairs the Member Advocacy Committee and oversees the Recovery and Resiliency Department.

Fundamental Components:
- Collaborates with the R&R Administration and other health plans R&R Admins to develop and assist with tools that aid in increasing recovery and resiliency modalities within Aetna.
- Builds partnerships with individuals, families, youth, and key stakeholders to promote recovery, resiliency and wellness.
- Establishes structure and mechanisms to increase the member, family and community a voice in areas of leadership, service delivery and system administration, including Aetna Better Health of WV decision-making Committees and Board.
- Advocates for service environments that are supportive, welcoming, and recovery oriented by working with providers to implement Trauma Informed Care service delivery approaches and other initiatives.
- Communicates and collaborates with members and families to identify concerns and remove barriers that affect service delivery and member satisfaction.
- Promotes the development and use of member and family support programs.
- Collaborates with WV State Department.
- Facilitates and participates in internal and external trainings to educate Health Plan staff, behavioral health providers, physical health providers and community members on recovery-oriented systems of care.
- Monitors and evaluates system indicators of success and recovery and provides regular reports to leadership.
- Chairs Member Advocacy Committee, ensuring coverage and action on key issues.
- Manages all staff in the Recovery and Resiliency Department, ensuring adherence to company policies and procedures.
- Participates in integrated rounds for the purpose of identifying recovery and resiliency modalities that can assist the member in maintaining community tenure.
- Serves as an example that recovery is possible and therefore, reduces stigma in the internal culture.


Background Experience:
- Knowledge of existing community advocacy groups and the ability to collaborate with multiple system stakeholders on treatment, access to care, and recovery and wellness issues.
- Knowledge of community resources for housing or treatment to assist in recovery from mental or physical illness, and the ability to work with existing resources to expand the system of care.
- Experience developing and delivering training and education programs for a variety of audiences.
- Requires lived experience with physical and/or mental health challenges, either their own or that of a family member.
- Computer literate with proficiency in MS Office Suite applications (WORD, Excel, Outlook, SharePoint, etc.) and strong keyboard navigation skills are required.
- 3+ years' experience with IDD (Intellectual and Developmental Disabilities) population preferred.
- Bachelor’s degree in Social Work or related Human Services field preferred.
- Certified Psychiatric Rehabilitation Practitioner (CPRP) preferred.
- Certified Peer Support Specialist preferred.



Additional Job Information:
Are you ready to join a company that is changing the face of health care across the nation? Aetna Better Health of West Virginia is looking for people like you who value excellence, integrity, caring and innovation. As an employee, you’ll join a team dedicated to improving the lives of our members. Our vision incorporates community-based health care that works. We value diversity. Align your career goals with Aetna Better Health of West Virginia, and we will support you all the way.


Required Skills:
Benefits Management - Encouraging Wellness and Prevention, Benefits Management - Maximizing Healthcare Quality, Benefits Management - Understanding Clinical Impacts

Desired Skills:
Benefits Management - Interacting with Medical Professionals, General Business - Communicating for Impact, General Business - Consulting for Solutions

Technology Experience:
Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft SharePoint, Desktop Tool - Microsoft Word, Desktop Tool - TE Microsoft Excel

Potential Telework Position:
Yes

Percent of Travel Required:
10 - 25%

EEO Statement:
Aetna is an Equal Opportunity, Affirmative Action Employer

Benefit Eligibility:
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Candidate Privacy Information:
Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Click To Review Our Benefits (PDF)

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