Clinical Liaison

• 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

Explore Behavioral Health Clinical Liaison at CVS Health. Review requirements and application details.