Aetna Registered Nurse Supervisor, Clinical Health Services in Baton Rouge, Louisiana
Req ID: 51845BR
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). 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. Develop, initiate, monitor and communicate performance expectations. Assesses developmental needs and collaborates with others to identify and implement action plans that support the development of high performing teams.
3+ years in clinical area of expertise is required
Ability to communicate effectively with Providers, Members, Staff and other Leaders both in oral and written formats is required
Ability to evaluate and interpret data, identify areas of improvement, and focus on interventions to improve outcomes is required
Ability to work with people in such a manner as to build high morale and group commitment to goals and objectives is required
Computer literacy and experience familiarity with Microsoft Excel, Word, and web-based applications 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 (RN) is required
Functional - Medical Management/Medical Management - Concurrent Review/1+ Years
ADDITIONAL JOB INFORMATION
Registered Nurse (BSN preferred).
Active unrestricted State Licensure in Louisiana.
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.
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Job Function: Health Care