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Mgr, Clinical Health Svcs

POSITION SUMMARY
The Manager is responsible for oversight of healthcare management staff including the organization and development of high performing teams. Works closely with functional area Supervisors and managers to ensure consistency in clinical interventions supporting our members. Accountable for meeting the financial, operational and quality objectives of the unit.
Fundamental Components:
Accountable for meeting the financial, operational and quality objectives of the unit. Oversees the implementation of healthcare management services for assigned functional area Implements clinical policies & procedures in accordance with applicable regulatory and accreditation standards ( state and federal standards and mandates as applicable). Serves as a content subject matter expert and as a mentor to the team regarding practice standards, quality of interventions
BACKGROUND/EXPERIENCE desired:
5-7 years in clinical area of expertise.
Computer literacy and experience familiarity with Microsoft Excel, Word, and web-based applications desired. Ability to work with people in such a manner as to build high morale and group commitment to goals and objectives. Registered Nurse (BSN preferred): and Active unrestricted State Licensure in applicable functional area.
EDUCATION
The minimum level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Nursing/Registered Nurse (RN) is desired
Nursing/Certified Case Manager (CCM) is desired
FUNCTIONAL EXPERIENCES
Functional - Nursing/Case Management/4-6 Years
Functional - Nursing/Discharge Planning/4-6 Years
Functional - Nursing/Concurrent Review/discharge planning/4-6 Years
Functional - Nursing/Skills Progression-Mentor Lead/1-3 Years
Functional - Planning/Planning & performance management/1-3 Years
TECHNOLOGY EXPERIENCES
Technical - Aetna Applications/Aetna Total clinical View/4-6 Years/End User
Technical - Aetna Applications/e.Service/4-6 Years/End User
Technical - Desktop Tools/Microsoft SharePoint/1-3 Years/End User
Technical - Aetna Applications/Verint Ultra for Administrators/4-6 Years/End User
ADDITIONAL JOB INFORMATION
This candidate will work closely with our business partners Willis Towers Watson
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 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.
Employment Type Regular Career Band Description Management

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