Behavioral Health Clinical Liaison

. Clinically manage non-traditional mental health services and addiction recovery and treatment services through the utilization management process .

Posted 10/7/2026full-timeVirginia • United StatesMid-LevelSenior💰 $80,340 - $173,040 per yearWebsite

Key responsibilities & impact

Clinically manage non-traditional mental health services and addiction recovery and treatment services through the utilization management process
Drive collaboration on quality of care, utilization management, disparities, and care coordination to ensure optimal member outcomes
Conduct outreach to at-risk member supports to drive treatment coordination, transitions of care, and appropriate discharge planning
Serve as the behavioral health subject matter expert for care management staff serving Aetna members in the region
Interface with community stakeholders to foster collaboration and provide education and training
Support and encourage care management and utilization management staff to function as an interdisciplinary team
Represent the plan to external stakeholders, providers/vendors, and advocacy groups regarding quality improvement initiatives, member care integration, health plan success, and innovative care strategies
Participate in interdisciplinary case rounds for members with complex clinical presentations and identify opportunities to improve rounds
Apply biomedical, clinical, epidemiologic, and social-behavioral sciences knowledge to member care
Participate in and support process improvement initiatives within care management and broader plan operations
Work Monday–Friday, 8–5, with occasional on-call holiday weekend coverage
Travel up to 10% in the candidate’s region

What you’ll need

Must reside in Virginia
Must be licensed in Virginia as a Licensed Clinical Social Worker, Licensed Professional Counselor, Licensed Marriage and Family Therapist, Licensed Behavior Analyst or a RN with a psych background in the state of Virginia
2+ years experience with delivery of community-based Medicaid behavioral health services
5+ years of clinical experience in behavioral health, mental health, psychiatric care
Must be willing and able to travel up to 10% within the assigned region for provider meetings and community based events
Proficiency with MS Office Suite, WORD, Excel, Outlook, etc. and strong keyboard navigation skills are required
2+ years experience working for a managed care organization (MCO) (preferred)
Experience with supervision of community-based Medicaid behavioral health services (preferred)
Experience in completing utilization management tasks (preferred)
Demonstrated leadership competency, self-motivated and confident making decisions (preferred)
A strong clinical consultant (preferred)
Demonstrated ability to complete care coordination tasks (preferred)
Demonstrated ability to work independently (preferred)
Ability to manage multiple tasks concurrently (preferred)
Demonstrated ability to meet deliverables timely (preferred)
Master’s degree in Behavioral Health field
If RN, Bachelor's degree required

Comp & perks

Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being
CVS Health bonus, commission or short-term incentive program in addition to base pay