Aetna Behavioral Health Spec in New Albany, Ohio

Req ID: 53604BR

POSITION SUMMARY

Behavioral Health Specialist provides consultation and collaboration to medical nurses in case management and disease management programs, regarding engagement and treatment for BH co-morbilities. The mission of the position is to promote an overall holistic approach to the Aetna member, through a single point of contact, regarding all medical issues including behavioral health and chemical dependency issues. The BH Specialists serves as a consultant to the Aetna member-facing entity.

Fundamental Components:

  • Provides consultation to nurses, working on medical cases, in regards to the assessment and awareness of BH co morbidities.

  • The BH Specialists leverages clinical assessment skills and treatment planning to coach and collaborate with the nursing staff to include BH co morbidity information in their work, with the patient, to facilitate the single-point-of-contact model.

  • Supports nursing staff with engaging members using motivation interviewing skills and serves as an MI champion.

  • Performs and monitors member impact and outcomes, as a result of this integration and collaborative process.

  • Maintains contact and outreach with nursing staff in order to adjust treatment interventions, etc. to achieve the desired results.

BACKGROUND/EXPERIENCE desired:

3 years post degree experience in a psychiatric or substance abuse setting required

5-8 years experience in behavioral health required

Prior managed care experience is preferred

Masters or Doctoral degree in behavioral health field preferred

Registered Nurse with behavioral health experience/background

Unencumbered clinical license in the state where worked

EDUCATION

The minimum level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.

LICENSES AND CERTIFICATIONS -1 of the following is required:

  • Nursing/Registered Nurse (RN)

  • Mental Health/Licensed Master Social Worker (LMSW)

  • Mental Health/ Licenses Social Worker (LSW)

  • Mental Health/ Licensed Clinical Social Worker (LCSW)

  • Medical Management/Clinical Psychotherapy/Counseling

  • Nursing/Psychiatric and Mental Health Nurse

FUNCTIONAL EXPERIENCES

Functional - Nursing/Mental Health/4+ Years

Functional - Clinical / Medical/Direct patient care (hospital, private practice)/4+ Years

Functional - Risk Management/Safety and environment/4+ Years

TECHNOLOGY EXPERIENCES

Technical - Desktop Tools/Microsoft Outlook/7+ Years/End User

Technical - Desktop Tools/Microsoft Explorer/7+ Years/End User

Technical - Desktop Tools/Microsoft Word/7+ Years/End User

Technical - Aetna Applications/Aetna Total clinical View/1+ Years/End User

Telework Specifications:

Full-time Telework (WAH)

Considered for internal teleworkers

Considered for any US location; training period in office may be required

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.

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.

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.

Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Aetna takes our candidates'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.

Job Function: Health Care