Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

Clinical Liaison

Expired Job

Aetna Inc. Roanoke , VA 24001

Posted 2 months ago

Job Description:

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.

Job Responsibilities:

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.

Background/Experience Desired:

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

Minimum 5+ years clinical experience, clinical and program oversight experience required, preferably in behavioral health, mental health, psychiatric care

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

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.

Proficiency with MS Office Suite, Word, Excel, Outlook, etc. and strong keyboard navigation skills are required Experience with delivery/supervision of community based Medicaid behavioral health services strongly preferred

Education:

The highest level of education desired for candidates in this position is a Master's degree or Bachelor's degree (Registered Nurses) or equivalent experience.

Licenses and Certifications:

Licensed and masters prepared behavioral health clinician; i.e., Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC) or Registered Nurse (RN); BSN with strong psych background required.

Functional Experiences:

Medical Management/Medical Management

  • Case Management/4-6 Years

Medical Management/Medical Management

  • Managed Care/Insurance Administration/4-6 Years

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. 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.

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.

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.



See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Talent Liaison

Intercept Youth Services

Posted 1 week ago

VIEW JOBS 11/27/2018 12:00:00 AM 2019-02-25T00:00 Summary: The Talent Liaison (TL) conducts the full life-cycle of employee recruitment, representing Intercept as a great place to work and grow. The TL partners with new employees to monitor and assist in their successful training and assimilation into the company and their role. Experience/Education: Bachelor's or Associate's degree in related discipline preferred. Comparable HR experience may be substituted for education requirement. One year of recruiting in a high volume human services or healthcare recruiting experience a plus. Experience with college recruiting, social media networking a plus. Essential duties include the following. Other duties may be assigned as needed. ASSIGNED BUSINESS UNIT SUPPORT * Perform full life-cycle recruitment from start to finish for assigned business units. * Work closely with hiring business units to understand their current and future staffing requirements, including staffing levels, locations, qualifications. Communicate frequently with hiring managers on the status of open positions. * Identify, screen and present candidates to hiring managers for open positions. * Work with the hiring manager to identify internal candidates within the hiring manager's business unit and in other business units. Use career-pathing to identify and support internal hiring. * Develop and execute sourcing strategies to effectively identify the best talent sources with guidance from the Director of Recruitment and Talent Management. * Develop and maintain a network of potential candidates, utilizing social networks, employee networks, professional organizations, etc. Coordinate and attend recruiting events such as job fairs and college open houses as needed. * Represent and promote the Intercept brand and value proposition to candidates, including our mission, values, career paths and workplace environment. Ensure a positive experience for every candidate in every interaction, whether written, by phone or in-person. * Post positions using a variety of venues (websites, newspapers, college placement offices, etc). * Maintain accurate and up-to-date records in the applicant tracking system. * Acquire the required pre-employment documentation for each new hire to ensure full compliance with company policies, licensing and Medicaid regulations. * Work with HR Consultant/HR Analyst, and hiring managers to negotiate wage rates and other terms and conditions of employment with candidates. Prepare and deliver the offer. * On-board employees by welcoming new employees to Intercept, introducing them to our Mission, Values, the LifeBridge and organizational structure. * Complete new hire orientation and process new hire paperwork and training process. Identify the employee's job-specific training goals and timelines. * Monitor new hire success by regular follow-up discussions, by phone, video and in-person, to assess employee progress in training and assimilation into their role. * Conduct periodic surveys of first-year employees to assess their engagement and identify ongoing concerns. * Work with new employee's managers to resolve concerns about training, work environment, or other job-related concerns. HUMAN RESOURCES AND RECRUITMENT AND TALENT MANAGEMENT SUPPORT * Assist Recruitment and HR staff with development of results driven HR best practice policy, procedures, and practice. * Make suggestions for general policy/procedure clarification or additional HR policy/procedure creation as needed. * Serve as back-up and provide general Recruitment support for HR staff. * Collaborate with needed staff for special HR related projects or initiatives. Intercept Youth Services Roanoke VA

Clinical Liaison

Expired Job

Aetna Inc.