Aetna Clinical Team Lead in Albany, New York
Req ID: 66302BR
Office Based position: Albany, NY -- 15 Columbia Circle
The Team Lead is accountable to leadership to support the day to day operations of the team. This position has no supervisory oversight of staff, but requires a solid understanding of the workflows, policies and procedures to ensure the team is producing at a successful level. The Team Lead supports the onboarding of new staff as well as quality monitoring and assignment triage. The Team Lead is a single point and first line of contact for staff for clinical issues. They may lead projects as assigned. The Team Lead provides ongoing communication and updates to leadership and contributes and participates in team meetings. The role requires promoting cooperation and team-building between all department members.
Fundamental Components included but are not limited to:
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 teams 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 caseload work Respond to issues and inquiries as needed Sedentary work involving periods of sitting, talking, hearing, work requires visual acuity to perform close inspection of hand written and computer generated documents as well as a PC monitor.
Qualifications Requirements and Preferences:
3+ years of clinical experience required
Managed Care experience preferred
2+ years of Utilization Management experience required
2+ years of Precert experience preferred
Excellent critical thinking skills
Computer literacy (Microsoft Outlook, Excel and Word)
Strong customer service skills
Nursing - Registered Nurse (RN)
Nursing - Clinical coverage and policies, Nursing - Concurrent Review/discharge planning, Nursing - Discharge Planning
Desktop Tool - Microsoft Explorer, Desktop Tool - Microsoft Outlook
Benefits Management - Interacting with Medical Professionals, Leadership - Collaborating for Results, Service - Handling Service Challenges
Benefits Management - Maximizing Healthcare Quality, Service - Working Across Boundaries
Additional Job Information:
Typical office working environment with productivity and quality expectations Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor. Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer. Ability to multitask, prioritize and effectively adapt to a fast paced changing environment Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding Effective communication skills, both verbal and written.
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
Job Function: Healthcare
Aetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.