Aetna Supvr, Clinical Hlth Svc in Chicago, Illinois
Req ID: 37994BR
Office Based in Chicago or Downers Grove IL
The Supervisor is responsible for oversight of healthcare management staff including the organization and development of high performing teams. Works closely with functional area managers to ensure consistency in clinical interventions supporting our members. 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 (e.g.
NCQA, URAC, state and federal standards and mandates as applicable)
Serve as a content model expert and mentor to the team regarding practice standards, quality of interventions,
problem resolution and critical thinking
Ensure implementation and monitoring of best practice approaches and innovations to better address the member's
needs across the continuum of care
May act as a liaison with other key business areas.
May develop/assist in development and/review new training content
May collaborate/deliver inter and intra-departmental training sessions
Protects the confidentiality of member information and adheres to company policies regarding confidentiality
Manages resources responsible for identification of members, development and implementation of care plans,
enhancement of medical appropriateness and quality of care and monitoring, evaluating and documenting of care
Develop, initiate, monitor and communicate performance expectations
Ensures the team's understanding and use of information system capability and functionality
May have responsibility for their own case load work
May act as a single point of contact for the customer and the Account Team including: participation in customer
meetings, implementation and oversight of customer cultural requirements, and support implementation of new
Participate in the recruitment and hiring process for staff using clearly defined requirements in terms of education,
experience, technical and performance skills
Assesses developmental needs and collaborates with others to identify and implement action plans that support the
development of high performing teams
Establish an environment and work style that promotes the concept of teamwork, cross product integration, and
continuum of care thinking that results in strong performance
Consistently demonstrates the ability to serve as an model change agent and lead change efforts
Create a positive work environment by acknowledging team contributions, soliciting input, and offering personal
assistance, when needed
Accountable for maintaining compliance with policies and procedures and implements them at the employee level
3 - 5 years experience in clinical area of expertise.
Ability to communicate effectively with Providers, Members, Staff and other Leaders both in oral and written formats
(e.g., may provide support via onsite customer visits and/or presentations)
Ability to evaluate and interpret data, identify areas of improvement
Ability to build high morale and group commitment to goals and objectives
The highest level of education desired for candidates in this position is a Master's degree.
LICENSES AND CERTIFICATIONS
Nursing/Registered Nurse is desired
Mental Health/Licensed Clinical Social Worker is desired
Functional - Clinical / Medical/Management: < 25 employees/1-3 Years
Functional - Medical Management/Medical Management - Case Management/1-3 Years
Technical - Desktop Tools/Microsoft Outlook//
Technical - Desktop Tools/Microsoft PowerPoint//
Technical - Desktop Tools/Microsoft Word//
ADDITIONAL JOB INFORMATION
The Supervisor of Clinical Health Services position in the Managed Long Term Supports & Services (MLTSS) department provides the opportunity to help shape and develop the newly implemented MLTSS program. You will work closely with your peers, manager, and director to implement policies that ensure Medicaid waiver recipients are receiving appropriate care. You will also be responsible for supervising and motivating a field based case management team responsible for assessing the appropriate service level for waiver recipients. This is an opportunity to have an impact in the community we serve by providing the right services for the right reasons.
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.
Exciting opportunities at Aetna a leader within the Healthcare industry We are having an onsite Career/Job Fair seeking RN, LPN, LPC, LCSW and more Recruiters and hiring managers will be available for onsite interviews We will be at Palmer House Hilton17 East Monroe Chicago, ILJanuary 24, 2017 from 10a to 5p Doubletree Chicago800m National Parkway Schaumburg, ILJanuary 26, 2017 from 10a to 5p Please share and pass along this grand opportunity Remember, you can always visit our website for open opportunities
Job Function: Health Care