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Emergency (Crisis) Services Administrator

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Richmond, Virginia - VA CVS Health

Job Ref:  R0129172
Employer:  CVS Health
Category:  Healthcare
Job Type:  Full Time

Location

State:  Virginia - VA
City:  Richmond
Post Code:  23219
Map: 
Virginia , Richmond, 23219 (Show on map)

Description

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary
Full time telework role. Must be a Virginia resident and have Mental Health Clinical Licensure (LPC, LMFT, LCSW) in good standing in the state of VA. Role will focus on the coordination, support, engagement, and management for Aetna Better Health of Virginia members who engage with the behavioral health Crisis Services delivery system. The position has three primary functions including: a. Principal subject matter expert for internal member facing staff to provide information, training, resources, safety planning, and linkages to support members experiencing or transitioning from a behavioral crisis b. Build relationships & partnerships with key crisis service providers, agencies, and other downstream entities in the Crisis Services continuum c. Participate in local, regional, & state meetings/steering committees/workgroups related to the VA Crisis Continuum. Coordination duties related to complex patient populations and collaboration of services with community programs and providers including both mental health, substance use and medical services. Identification of crisis response service gaps and development of solutions Oversee transition of care for members discharging from inpatient settings and to/from the Aetna Medicaid program Consult with community providers and care management providers, including State and local community providers, providing information on physical and mental health and substance abuse programs, resources, and care program referrals Interact with clinical and senior leaders within the health plan to discuss member specific health and service needs Monitor the administration of state specific programs to ensure compliance with required processes, identify staff training needs, and to collect program outcome data. Participate in the review of policies and procedures, job aids, and desktops related to crisis response behavioral and physical health services. Coordinate with health plan staff (e.g. Member Services, Utilization Management, Care Management, Provider Network) to secure needed services for individual members In conjunction with health plan staff (e.g. Utilization Management, Care Management) coordinate processes related to behavioral and physical health services, involving primary care physicians and related care team participants. Collaborate with Provider Services in monitoring the network to ensure compliance with state/contractual requirements and to identify service gaps in the crisis response network. Identify areas of concern related to program administration and participate in the development and implementation of appropriate corrective action May participate in training new and existing health plan staff on new programs, member health and service needs, and provider-related processes. Facilitate effective interactions with network and community service providers through provider education on behavioral and physical health, social service needs, and utilization

Required Qualifications
  • Requires independent licensure as a Licensed Professional Counselor (LPC) or Licensed Marriage & Family Therapist (LMFT) or Licensed Clinical Social Worker (LCSW) in the state of Virginia.
  • 6+ years experience working in behavioral health field.
  • 5+ years working in providing clinical services to members with Behavioral Health crisis and, managing, and supervising individuals who provide behavioral health Crisis services.
  • Must be able to travel to Richmond, VA for monthly meetings.


Preferred Qualifications
  • Demonstrated deep understanding, expertise, and work experience within the Virginia Behavioral Health crisis services continuum and recent state Behavioral Health Transformation approach.
  • Experience supervising or managing crisis services.
  • Experience in managed care related to behavioral health.
  • Demonstrated experience working and collaborating public and private crisis services providers and building partnerships between crisis service system entities in the state of Virginia


Education
  • Master's degree in Counseling, Social work, or closely related field.

Pay Range

The typical pay range for this role is:
$84,500.00 - $182,000.00
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 jobs.CVSHealth.com/benefits
We anticipate the application window for this opening will close on: 06/28/2024
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