Aetna Manager, Clinical Health Services in Columbia, Maryland
Req ID: 51193BR
Management of Care Management Program in a high volume environment.
Reinforces clinical philosophy programs, policies and procedures.
Communicates strategic plan and specific tactics to meet plan.
Ensures implementation of tactics to meet strategic direction for cost and quality outcomes.
Creates direction and communicates a business case for change by focusing on and addressing key priorities to achieve business results.
Identifies opportunities to implement best practice approaches and introduce innovations to better improve outcomes. Accountable for meeting the financial, operational and quality objectives of the unit.
Registered Nurse (RN) is required
5+ years in clinical area of expertise is required
2+ years of supervisory or leadership experience is required
5+ years of case management experience is required
2+ years of Medicaid experience is required
Utilization Management experience is preferred
Previous experience using Dynamo system is a plus
Certified Case Manager (CCM) is preferred
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 is required
For current Aetna employees, telework will be available for 2 days during the week; 3 days in office is required
For any external candidate, telework potential will be evaluated after 90 day orientation period
Functional - Management/Management - Health Care Delivery/2+ Years
Functional - Nursing/Case Management/5+ Years
ADDITIONAL JOB INFORMATION
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 health care. What we do will benefit generations to come.
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