Aetna Clinical Director, Behavioral Health Services - 51939BR in Overland Park, Kansas

Req ID: 51939BR

Are you ready to join the company that is changing the face of healthcare across the nation? Aetna Better Health of Kansas is looking for people like you who value diversity, excellence, integrity, caring and innovation. As an employee, you will join a team dedicated to improving the lives of KanCare members. Our vision incorporates community-based healthcare that works. Align your career goals with Aetna Better Health of Kansas, and we will support you all the way.

Position Summary:As the Clinical Director of Behavioral Health Services, you will be dedicated to the KanCare program and the populations served by our Long-Term Services and Support (LTSS), Behavioral Health and all clinical teams. The Clinical Director of Behavioral Health Services is essential for ensuring the delivery of integrated behavioral health support services to individuals receiving long-term services and support and of covered populations. The Clinical Director of Behavioral Health Services position is responsible for working with our Chief Medical Officer for Behavioral Health to help manage our integrated services including behavior crisis prevention, intervention, and stabilization services. In this role, you will also be accountable for working with other Medical Officers and the Pharmacy Director to ensure the integration of physical, behavioral health services, and long-term services and supports for individuals across different populations.

Additional Responsibilities of the Clinical Director of Behavioral Health Services:- Oversee integrated behavioral health support services provided to individuals receiving long-term services and support and covered populations- Direct quality improvement initiatives regarding behavioral supports and the appropriate use of psychotropic medications in different populations- Evaluate, develop and implement clinical programs, policies and procedures that meet business needs- Direct/provide enhancements to processes, policies and infrastructure to improve operational efficiency- Formulate and implement strategy for achieving applicable department/unit metrics and provide operational direction- Develop and manage clinical operations focused on improving clinical and financial outcomes, member engagement and satisfaction- Implement and monitor business plan and oversee any implementations or transitions that affect service operations- Enhance relationships with providers, facilities, plan sponsors, regulatory agencies- Serve as liaison to regulatory and accrediting agencies and other healthcare business units- Serve as a technical, professional and business resource to others across various business functions- Develop and participate in presentations and consultations with existing and prospective customers- Participate in internal and external healthcare industry development efforts- Collaborate with other business areas across regions, segments, and other centralized corporate areas to ensure all workflow processes and interdependencies are identified and addressed on an on-going basis

Required Skills for the Clinical Director of Behavioral Health Services:- Kansas psychologist license, board-certified Psychiatric Mental Health Nurse Practitioner license, or Clinical Nurse Specialist license with an Advanced Practice Nursing (APN) degree- 8+ years clinical and project leadership experience- 3+ years of management experience in a healthcare setting- Experience with Applied Behavior Analysis (ABA)- Experience directing behavior support services- Ability to apply rigorous financial and value analysis that enhances profitability - General knowledge of healthcare benefits business- Sound clinical knowledge and demonstrated recognition as a credible clinical resource- Strong presentation, verbal and written communication skills- Knowledge of governmental and regulatory authorities- Proficiency in Microsoft Office applications (Word, Excel, Outlook, SharePoint, etc.) and strong keyboard navigation skills

Preferred Skills for the Clinical Director of Behavioral Health Services:- Experience managing case management and/or utilization management functions- 3+ years of experience in a patient care setting- Experience with intellectual and developmental disabilities populations- Experience with motivational interviewing and trauma-informed care

Education: - Master's degree or equivalent experience

Additional Job InformationAetna 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 candidate'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

Aetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.