Behavioral Health Clinical LiaisonPrimary Location: Linthicum, Maryland
Additional Locations: MD-Linthicum Apply
The Clinical Liaison is a clinical leader in this Medicaid plan focusing on integrating member care and clinical coordination and will be responsible for leading the development, implementation, and ongoing monitoring of program and quality initiatives to address the needs of Aetna members.
The Clinical Liaison - Behavioral Health represents the plan and collaborates 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.
Partner with Plan executive leadership team to provide overall vision and leadership
Serve as a key resource regarding any issues related to the integration of member care
Drive collaboration on quality of care, utilization management, disparities and care coordination
Partner with AETNA Community Development and Outreach Team and Health Care Equity Director to develop strategies with key stakeholders to improve integration efforts and optional care delivery
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
Partner with Aetna Medicaids regional psychiatrists to manage and oversee ICM
Participate in organizational planning, including strategic plans, business plans, and new product development
Elicit staff input related to their job functions and leverages errors and failure to reach performance targets
Support and encourage CM, UM, and DM staff to function as interdisciplinary team, with requisite range and depth of subject matter
Co-facilitate interdisciplinary case rounds to address the needs of members with complex clinical presentations
Identify opportunities for improving rounds, and works 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 and support process improvement initiatives within care management and across broader Plan operations
3+ years complex case work experience is required
3+ years of managed care experience is required
5+ years of experience in a clinical setting is required; behavioral health, mental health or psychiatric care preferred
Strong verbal and written communication skills and the ability to communicate effectively with all levels of management is required
Experience in handling mental health and psychiatric care, family situations, relationship concerns is preferred
Experience with third party relationships, including local community building efforts, governmental and regulatory authorities preferred
Supervisory, management and administrative experience, excellent consultative and communication skills, analytical ability, decisiveness, strong judgment and the ability to work effectively with client and IT management and staff and vendors is preferred
Utilization review experience preferred
Management or leadership experience in a clinical setting desired.
The minimum level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Mental Health/Licensed Clinical Social Worker (LCSW) is required
Mental Health/Licensed Professional Counselor (LPC) is required
Mental Health/Licensed Independent Social Worker (LISW) is required
Registered Nurse (RN) is required
Functional - Medical Management/Medical Management - Case Management/4+ Years
Technical - Desktop Tools/Microsoft Word
Technical - Desktop Tools/Microsoft PowerPoint
Technical - Desktop Tools/Microsoft SharePoint
Technical - Desktop Tools/TE Microsoft Excel
Position is based out of Linthicum, MD office; Potential for part time telework will be evaluated after 90 days.
ADDITIONAL JOB INFORMATION
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.
We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.
Together we will empower people to live healthier lives.
Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.
We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
Aetna takes our candidates'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.
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