Aetna Supervisor, Clinical Health Services (RN) in Fresno, California
Req ID: 53406BR
The Supervisor is responsible for oversight of healthcare management staff including the organization and development of high performing teams. Works closely with managers to ensure consistency in clinical interventions supporting our members. Accountable for meeting the financial, operational and quality objectives of the unit.
The Clinical Supervisor role includes (but is not limited to): Overseeing the implementation of healthcare management services for assigned areas, Implementing clinical policies & procedures in accordance with applicable regulatory and accreditation standards (e.g. NCQA, URAC, state and Federal standards and mandates as applicable), Serving as a content model expert and mentor to the team regarding practice standards, quality of interventions, problem resolution and critical thinking Ensuring implementation and monitoring of best practice approaches and innovations to better address the member's needs across the continuum of care Developing, initiating, monitoring and communicating performance expectations Consistently demonstrating the ability to serve as a model change agent and lead change efforts Creating a positive work environment by acknowledging team contributions, soliciting input, and offering personal assistance, when needed. Being accountable for maintaining compliance with policies and procedures and implements them at the employee level.
RN licensure required
3+ yeas clinical experience required (med-surg preferred).
Supervisory experience preferred
Computer literacy and experience familiarity with Microsoft Excel, Word, power point and web-based applications
Ability to work with people in such a manner as to build high morale and group commitment to goals and objectives
The minimum level of education required for candidates in this position is a Associate's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Nursing/Registered Nurse (RN) is required
Functional - Nursing/Concurrent Review/discharge planning/1+ Years
Functional - Medical Management/Medical Management - Managed Care/Insurance Clinical Staff/1+ Years
Functional - Management/Management - Health Care Delivery/1+ Years
Technical - Aetna Applications/Aetna Total clinical View/1+ Years/End User
Technical - Desktop Tools/Microsoft Word/1+ Years/End User
Technical - Desktop Tools/Microsoft Outlook/1+ Years/End User
Technical - Desktop Tools/TE Microsoft Excel/1+ Years/End User
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 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 candidates'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