Aetna ACT (Assertive Community Treatment) Liaison in Phoenix, Arizona
Req ID: 41020BR
The ACT Liaison is a project manager level position that will provide support to the Senior ACT Manager. The ACT Liaison will work to ensure compliance to the Mercy Maricopa contract and continued monitoring of the providers contracted for ACT services.
Implements strategic plan and quality initiatives for Assertive Community TreatmentEvaluates Providers and serves as a subject matter expert to provide technical assistance for Assertive Community Treatment FidelityObserves ACT Providers in the community and provides targeted feedback for continuous gains in fidelity for the Evidence Based Program (EBP) (30%)Works in conjunction with multiple internal stakeholders such as Operations, Office of Individual and Family Affairs, Medical Directors, Housing, Quality Management and Provider Monitoring to ensure operational, clinical and quality improvement initiatives align with clinical best practice and adhere to fidelityTrack, combine and maintain multiple provider deliverables (30%)Responsible for initial review of ACT members grievances/appeals and member-specific follow up with providers (15%)Monitors Level 1 and newly SMI ACT referrals, completes case-specific admission reviews and reviews of members in a duplication of service setting to ensure fidelity to the model (15%)Provides support services to team members by answering family and member telephone calls, taking messages, scheduling meetings, researching information and assisting in solving concerns related to ACT members (10%)BACKGROUND/EXPERIENCE desired:Strong written and verbal communication skillsProven ability to affect change/strong interpersonal skillsExcellent organizational skills and ability to multi-task and manage multiple deadlines3 years experience in the behavioral health field with a preference for some experience in ACT (assertive community treatment model)1 year experience either in a supervisory capacity or facilitating meetings with stakeholders
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Customer Service/ is desired
Leadership/ is desired
Functional - Customer Service/FE Customer Service - Provider - HMO/1-3 Years
Functional - Leadership//1-3 Years
Technical - Desktop Tools/Microsoft Outlook/4-6 Years/End User
Technical - Desktop Tools/Microsoft Word/4-6 Years/End User
Technical - Desktop Tools/Microsoft PowerPoint/1-3 Years/End User
General Business/Applying Reasoned Judgment/ADVANCED
General Business/Communicating for Impact/ADVANCED
Leadership/Developing and Executing Strategy/ADVANCED
Leadership/Collaborating for Results/FOUNDATION
ADDITIONAL JOB INFORMATION
This is an exciting opportunity to work with Mercy Maricopa Integrated Care, a nonprofit organization administered by Aetna. Mercy Maricopa Integrated Care is looking for caring people who share our vision of recovery and integrated healthcare service delivery. Mercy Maricopa Integrated Care is a great place to work. Our company values diversity and is dedicated to helping you achieve your career goals. With Mercy Maricopa's focus on the whole health of a member through integration, we are working to drive quality of care through value based purchasing efforts that will serve to improve care to our members.
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.
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Job Function: Management