Job Description
Business Overview:

The mission of Aetna Better Health of LA (ABHLA) is to build a healthier world through better health, better care, and lower costs. We have embraced the quintuple aim as our guiding framework that integrates population health, equity, cost reduction, patient experience, and care team wellbeing into everything we do. We are leading the change by challenging the status quo with new technologies, VPB models, innovation, and integration of behavioral and physical health; and attracting and inspiring our local team by unlocking the power of our people to transform health care.

This is a remote teleworker position in Louisiana; travel is also required up to 50% of the time in the assigned region(s). Qualified candidates must reside in one of these parishes/counties: Avoyelles, Catahoula, Concordia, Grant, LaSalle, Rapides, Vernon, Winn, Bienville, Bossier, Caddo, Claiborne, DeSoto, Natchitoches, Red River, Sabine, Webster, Caldwell, East Carroll, Franklin, Jackson, Lincoln, Madison, Morehouse, Ouachita, Richland, Tensas, Union, or West Carroll.

Using lived experience associated with barriers experienced when navigating the mental health and substance use system of care and in achieving their own personalized recovery, Recognized Peer Support Specialists (RPSS) guide, coach, and mentor others who are working towards achieving their individualized recovery goals. Use personal experience of recovery to help the Aetna team understand best how to coordinate care for members. Share coping strategies, wellness tools and other resources with care managers and coordinators. Conduct visits with member to support them in their personalized recovery journey.

• Regularly attend case rounds and assist the team with identifying members who might benefit from Peer Support Services.
• Orient and educate the care management team as to how peer support services can help members in achieving member recovery goals, reinforcing the care plan, maintaining community tenure, adjusting tasks to fit with the member’s culture, language, and religion, improving access to care, identifying health care needs, and reducing unnecessary hospitalizations or emergency services.
• Collaborate with healthcare professionals and providers on the principles of recovery, and opportunities for improving and understanding the social determinants of health that may be impacting member’s health and treatment plan through various communication channels.
• Assist care managers and coordinators in helping members to identify socio-economic issues that affect their overall health and develop person-centered plans and goals.
• May attend medical, behavior health or community appointments with members when appropriate to focus on improving and maintaining a relationship with community based providers and support services.
• Conduct face-to-face and/or virtual visits with members for the purposes of engaging the member in a strengths-based, person-centered goal setting.
• Assist members in setting and attaining short and long-term strength-based goals.
• Suggest approaches that encourage members to participate in wellness and recovery activities at a pace that is comfortable for them.
• Ability to advocate for the needs of the member and ensure that their individualized goals are being met in accordance to their expressed needs.
• Partner with the member in their efforts to connect with community-based services and supports to ensure access and utilization of these services and support the member in remaining in the community setting of their choice.
• Possess strong communication skills to not only engage the member initially in peer services but also to develop a working relationship that supports the member in moving down the recovery pathway.
• Possess strong collaboration skills internally with health plan staff and externally with members and community agencies for the purposes of developing a holistic plan for the member in moving down the recovery pathway.
• Knowledge of and/or ability to research available community-based supports and services in order to support member’s whole health.
• Possess a strong knowledge of open-ended questions and how to utilize open-ended questions to engage the member in a mutually beneficial dialogue.
• Possess strong technological skills in regards to the ability to navigate and utilize numerous web-based and computer applications including but not limited to Microsoft Outlook, Microsoft Word, QuickBase and Electronic Health Records.
• Possess strong documentation skills in regards to the entering of non-clinical person-centered notes related to member outreach.
• Ability to maintain focus on tasks at hand and manage schedule independently in accordance with standards established.
• Ability to manage multiple competing projects and demands.
• Maintain continuing education requirements in accordance with standards established for Recognized Peer Support Specialists in Louisiana.

Pay Range
The typical pay range for this role is:
Minimum: 18.50
Maximum: 33.65

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

Required Qualifications

• If not certified, completion of a Certified Peer Support Training Program as recognized by the State of Louisiana is required within 90 days of start date.
• Minimum of 1 year health care, health care advocacy or volunteer experience is required
• Ability to travel up to 50% of the time, to multiple office and home locations. Must have access to reliable transportation, valid LA driver's license, and proof of vehicle insurance is required.

Preferred Qualifications

• 2-3 years’ experience in community/outpatient setting working with members in a mental health or substance use setting is preferred.
• Peer Support Specialist certification is preferred.
• Bilingual skills desired.
• Experience in serving the Medicaid Populations in urban or rural environments with familiarity of local formal and informal resource networks preferred.
• Exceptional communication, organizational and interpersonal skills, with attention to detail.
• Experience using a computer and strong keyboard navigation skills including the use of MS Office Suite, i.e., MS Teams, Outlook, Word, SharePoint, and Excel applications.
• Preferred skills: Mental Health First Aid, Trauma Informed Care, HIPPA, C.L.A.S. Standards, and Motivational Interviewing.
• Ability to work effectively with a wide range of constituencies in a diverse community.
• Ability to educate health care providers as needed to adjust interventions based on member’s cultural, ethnic, or religious preferences.
• Experience providing care to socially and medically complex patients effectively in a variety of non-traditional settings.
• Knowledge of formal and informal community agencies and resources. Working knowledge of multi-system outreach programs related to health care delivery, clinical education, and health-related services.
• Ability to work collaboratively in a team and manage multiple priorities, utilizes effective time management skills, and exercise sound judgment.

Education

• High School Diploma or GED.

Business Overview
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. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.