Aetna Supervisor, Clinical Health Services in Blue Bell, Pennsylvania
Req ID: 55903BR
This is an in-office position in Blue Bell, PA.
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.
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. Evening shift coverage rotation as well as Saturday & Holiday coverage online/on-call.
RN licensure required
3+ years clinical experience required
Supervisory experience preferred
Case management experience preferred
Utilization management 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 Bachelor's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Nursing/Registered Nurse (RN) is required
Nursing/Certified Case Manager (CCM) is preferred
Functional - Nursing/Case Management/1+ Years
Functional - Nursing/Medical-Surgical Care/4+ Years
Functional - Clinical / Medical/Management: < 25 employees/1+ Years
Functional - Clinical / Medical/Concurrent review / discharge planning/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 Outlook/1+ Years/End User
Technical - Desktop Tools/Microsoft Word/1+ Years/End User
Technical - Desktop Tools/TE Microsoft Excel/1+ Years/End User
Flexible telework / office-based schedule (must live near certain office location)
ADDITIONAL JOB INFORMATION
This is an exciting opportunity to join a growing Blue Bell Dedicated Team. Local Blue Bell, PA candidates are encouraged to apply. Our department is a fast paced environment that provides our teams the opportunity to make a positive impact for our members and customers. The role is office based with extensive telephonic and computer utilization. We are seeking an individual who is adaptable and innovative with strong clinical skills that focus on the well-being of our members. This position is specifically located in our Blue Bell, PA office. -Case Management &/or Utilization Management experience is required -Case Manager Certification (CCM) is desired
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
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.