Aetna Clinical Team Lead in Albany, New York

Req ID: 51308BR

POSITION SUMMARY

The Clinical Team Lead Develops, implements, supports, and promotes Health Services strategies, tactics, policies, and programs that drive the delivery of quality healthcare to establish competitive business advantage for Aetna. Health Services strategies, policies, and programs are comprised of utilization management, quality management, network management and clinical coverage and policies.

Fundamental Components:

Serve as a resource to team members(*)

Serve as a content model expert and mentor to the team regarding practice standard, quality of interventions, problem resolution and critical thinking (*)

Ensure adherence to plan sponsor performance targets(*)

Develop, implement and support program policies and procedures

Utilize critical thinking skills to raise the level of team's performance

Mentor the team; monitoring and providing feedback regarding performance relative to best practices

Act as a role model for the Aetna values, particularly regarding company policies on confidentiality

Communicate effectively with a variety of audiences

Well organized and able to prioritize tasks

Support a positive work environment that promotes the concept of teamwork

Support to Supervisors as directed

May have responsibility for their own case load work

Respond to issues and inquiries as needed

BACKGROUND/EXPERIENCE:

3+ years clinical and managed care experience ; Required

Requires proficiency with computer skills which includes navigating multiple systems and keyboarding

Time efficient and highly organized

Exceptional communication skills

Ability to mentor and support staff to meet business needs

Proven track record of subject matter expertise

Ability to mentor and support staff to meet business needs

Proven track record of subject matter expertise

EDUCATION

The minimum level of education desired for candidates in this position is a Associate's degree or equivalent experience.

LICENSES AND CERTIFICATIONS

Registered Nurse (RN) is Required

Certified Case Manager (CCM) is desired

FUNCTIONAL EXPERIENCES

Functional - Nursing/Case Management/1-3 Years

Functional - Nursing/Concurrent Review/discharge planning/1-3 Years

Functional - Nursing/Skills Progression-Mentor Lead/1-3 Years

TECHNOLOGY EXPERIENCES

Technical - Aetna Applications/Aetna Total clinical View/1-3 Years/End User

Technical - Aetna Applications/Aetna Strategic Data Warehouse/1-3 Years/End User

TechnicalExperience/TechnicalFocus/1-3 Years/

Telework Specifications:

Considered only for current internal teleworkers (in any area)

ADDITIONAL JOB INFORMATION

We value leadership, creativity and initiative. If you share those values and a commitment to excellence and innovation, consider a career with our company.

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.

Job Function: Health Care