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Aetna is now a CVS Health Company

Socially Necessary Services Liaison

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 SNS (Socially Necessary Services Liaison) is responsible for providing services to improve relationships and social functioning, with the goal of preserving the individual's tenure in the community or the integrity of the family or social system. Socially necessary services (SNS) are interventions designed to maintain or establish safety, permanency and well-being for targeted populations.


Fundamental Components:
Fundamental Components/Job Description:
  • Monitor utilization of socially necessary services (SNS) and ensures member access to SNS
  • Collaborates and interfaces with Bureau for Children and Families (BCF) and all SNS providers to facilitate member access to care and positive health and social outcomes to maintain safety, permanency and well-being
  • Supports the administration of retrospective reviews of SNS providers
  • Supports members to avoid unnecessary disruption to their SNS, their environments, and their living situations
  • Proactively outreaches to members through routine ISP meetings, UM, member education, and reassessment to identify members at risk of SNS disruptions
  • Fosters and facilitates strong SNS provider relationships to support routine communication and integration of up to date, external, clinical, and community-based care plans within their Aetna service plan
  • Utilizes technology platforms that encourage SNS provider/health plan communication, such as Aetna's FamilyConnect
  • Disseminates user-friendly member and caregiver education tools by the member's assigned care coordinator, member advocates, reports gaps in service and how to access the 24-hour Health Information line (Nurse Line) and the Behavioral Health Crisis Services hotline and available community-based crisis support resources
  • Develops and implements work and project plans to achieve business goals
  • Solicits and evaluates internal and external customer feedback to enhance continuous quality improvement
  • May conduct group facilitation/presentations
  • Identifies issues that may impact a deliverable or project and addresses them by either resolving the issue or creating an alternative solution
  • Tracks progress and communicates work plan or project status on a regular basis to all impacted parties


Background Experience:
Knowledge and Skills:
  • Minimum of 3 years’ experience working with SNS providers is required
  • Candidate should be a resident of state
  • Proven communication skills (written, verbal and presentation)
Education and Certification Requirements:
  • The highest level of education desired for candidates in this position bachelor’s degree in Social Work, Counseling, Human Services or a relevant field is required.


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 - Shaping the Healthcare System

Desired Skills:
General Business - Applying Reasoned Judgment, General Business - Communicating for Impact, General Business - Maximizing Work Practices

Functional Skills:
Communication - Provider communications, General Management - Process & quality improvement, Government Relation - State

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

Potential Telework Position:
No

Percent of Travel Required:
25 - 50%

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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