Aetna Supervisor, Clinical Health Services (RN, LCSW, LSW) in Burlington County, New Jersey

Req ID: 57270BR

Please note: Candidates must reside in or around Burlington County, Camden County, Gloucester County or Cumberland County, NJ

POSITION SUMMARY

MLTSS supervisor will be directly responsible to provide leadership and oversight of field case management team. Reporting to the Director of MLTSS, the supervisor is responsible for ensuring compliance with contractual requirements and monitoring staff performance.

Fundamental Components:

  • Oversees the daily activities of the MLTSS care management team ensuring assessment accuracy and timeliness

  • 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

  • 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 customers.

  • 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.

BACKGROUND/EXPERIENCE desired:

Minimum of 1+ year paid professional experience working with and assessing the needs of the elderly or physically disabled in an institutional or community setting is required

1+ year of Care Management experience is required

The MLTSS supervisor must have knowledge of performing NJ Choice Assessments for MLTSS, MDC, and assessments for personal care assistance, adult and pediatric medical day care.

Must be knowledgeable in documenting in electronic health records and in working with MS Office products.

Required to work closely with leadership to ensure consistency in interventions supporting our members and care management team.

Will be accountable for meeting the financial, operational and quality objectives of the department.

2+ years management experience is preferred

Bachelor's Degree or higher preferred.

EDUCATION

The minimum level of education desired for candidates in this position is a Associate's degree or equivalent experience.

LICENSES AND CERTIFICATIONS

Nursing/Registered Nurse is required

OR

Mental Health/Licensed Social Worker (LSW) is required

OR

Mental Health/Licensed Clinical Social Worker (LCSW) is required

TELEWORK SPECIFICATIONS

Once orientation period has completed, employee is required to work 1 day per week in the office.

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

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.