Our Ability Jobs

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Position Summary

Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand dually eligible members to change lives in new markets across the country.

A Brief Overview

Administers processes to coordinate and facilitate comprehensive care for individuals by assessing their needs, developing personalized care plans, and coordinating services across healthcare providers. Serves as advocate for patients, ensuring effective communication, resource utilization, and continuous monitoring of their progress to promote positive outcomes and enhance overall well-being.

What you will do

· Coordinates behavioral health assessments to gain information on substance abuse history and mental health; determines the most appropriate social support system for patient health.

· Develops a complex resource coordination system to assists with outpatient counseling, support groups, housing assistance, vocational rehabilitation, or medication management.

· Documents individualized treatment plans based on assessments; develops plans which include goals, interventions, and measurable outcomes.

· Configures electronic medical software to categorize behavioral health conditions by severity.

· Edits content for the clinical advocacy campaign to deliver an impactful message surrounding client rights and health needs.

· Examines the data management system to ensure compliance with data privacy and security regulations.

· Identifies opportunities to develop training programs for the clinical case manager to ensure a thorough understanding of behavioral health practices.

· implements a monitoring and evaluation system to monitor patient progress towards goals.

· Installs an electronic medical record to monitor the input and output of the clinical case department.

Required Qualifications

· 3+ years clinical BH experience

· LCSW, LPC, or RN ( with BH experience) license in Virginia

Preferred Qualifications

· BH CM experience

· Working knowledge of problem solving and decision-making skills.

· Working knowledge of medical terminology.

· Working knowledge of digital literacy skills.

· Ability to deal tactfully with customers and community.

· Ability to handle sensitive information ethically and responsibly.

· Ability to consider the relative costs and benefits of potential actions to choose the most appropriate option.

· Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients.

Education

· Bachelors degree or Master's required (depending on licensure)

Pay Range

The typical pay range for this role is:

$60,522.80 - $129,615.20

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit Benefits | CVS Health (https://jobs.cvshealth.com/us/en/benefits)

We anticipate the application window for this opening will close on: 11/08/2024

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.