Role Overview: The Manager, Behavioral Health Clinical Liaison, is responsible for supporting the development, implementation, and monitoring of programs that promote whole-person integrated physical and behavioral healthcare. This role focuses on improving behavioral health service delivery, supporting cross-functional collaboration, advancing behavioral health equity, and reducing health disparities across the health plan.
Work Arrangement:
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This role is remote, and the associate must be located in Ohio (OH)
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Associates must have access to a reliable high-speed internet connection with a minimum download speed of 50 Mbps and an upload speed of 5 Mbps. Fully remote associates residing in states where internet service is required by contract, law, or regulation may be eligible for reimbursement.
Responsibilities:
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Lead the development, implementation, and monitoring of behavioral health and whole person care initiatives
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Partner with executive leadership to support integration of behavioral and physical health strategies across the plan
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Serve as a key resource for behavioral health integration and operational issues across departments.
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Collaborate with internal teams (Utilization Management (UM), Integrated Health Care Management (IHCM), Long-Term Services and Supports (LTSS) to support care coordination and service delivery.
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Consult with leadership and stakeholders on behavioral health systems, provider networks, and care management strategies
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Represent the plan to external stakeholders, including state agencies, providers, advocacy organizations, and community partners.
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Serve as a liaison with judicial systems, including courts and Department of Health and Hospitals (DHH) representatives, when applicable.
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Support interdisciplinary case rounds in partnership with clinical leadership to address complex member needs
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Promote the use of evidence-based practices and nationally recognized clinical guidelines
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Contribute to the development and review of policies to ensure integration of behavioral health and whole person care principles
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Support workforce training, professional development, and performance improvement initiatives
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Partner with Wellness Centers and Mobile Wellness teams to support outreach, screenings, and engagement activities
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Identify barriers to care and support strategies to improve access to behavioral health services
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Monitor and analyze data to identify service gaps, trends, and opportunities for improvement
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Support process improvement initiatives aligned with organizational goals and quality measures, including Healthcare Effectiveness Data and Information Set (HEDIS) outcomes
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Maintain work plans to track progress of initiatives and programs
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Ensure equitable access to services and programs for members with behavioral health and substance use needs
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Participate in enterprise workgroups and committees to support alignment with organizational strategies
Education & Experience:
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Master’s degree required in a behavioral health-related field
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3 years of experience providing mental health and/or substance use screening and treatment services
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Minimum of 5 years of experience in the provision and supervision of treatment services for mental illness and substance use disorders
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Experience working in behavioral health systems, including care coordination, program development, or clinical operations
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Knowledge of integrated care models, whole person care, and trauma-informed care principles
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Experience collaborating with interdisciplinary teams and external stakeholders
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Experience supporting quality improvement initiatives and program implementation
Licensure:
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Independent, current, and unrestricted Ohio license required, including one of the following:
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Registered Nurse with advance practice registered nurse (APRN)
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Licensure, Psychologist,
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Licensed Independent Social Worker (LISW)
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Licensed Professional Clinical Counselor (LPCC)
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Independent Marriage & Family Therapist (IMFT)
Skills & Abilities:
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Strong knowledge of behavioral health service delivery models and integrated care approaches
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Understanding of evidence-based behavioral health screening and treatment practices
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Ability to collaborate and build relationships with internal teams, providers, and external stakeholders
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Strong communication and presentation skills, including interaction with executive leadership and community partners
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Ability to analyze data, identify trends, and support performance improvement initiatives
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Problem-solving and critical thinking skills to address barriers to care and improve access
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Ability to manage multiple priorities and initiatives in a fast-paced environment
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Organizational and project management skills to support program implementation and tracking