Aetna Clinical Health Services Supervisor Registered Nurse (RN) in Louisville, Kentucky
Req ID: 53234BR
This position will be responsible for day to day operations of Utilization Management nurse reviewers as well as have responsibilities in the development of department improvements and staff development. This position will report to the Manager over the particular Utilization Management area.
Hours: Monday-Friday 8am-5pm. Potential on call weekends, phone only not in office.
Fundamental Components the basic responsibilities of this position include but are not limited to the following:
Responsible for day to day operations of Utilization Management nurse reviewers
Responsible for staff development
Work with upper management to assure forward progression of the department
Responsible to assure proper application of the managed care model
Work within a multidiscipline group
Work with medical directors to assure proper nurse reviews
2 yrs Supervisory clinical experience
Ability to work in a high paced environment
Ability to function within a multidisciplinary group
Ability to analyze and implement needed process changes
Willingness to continue to improve on ones over all knowledge. Lean Six Sigma Belt preferred.
Ability to facility forward progression of the department
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
Functional - Nursing//1-3 Years
Functional - Leadership/Lead a major change effortculture change/1-3 Years
Functional - Management/Management - Health Care Delivery/1-3 Years
Technical - Computer Operations/Computer Facilities Management/1-3 Years/End User
ADDITIONAL JOB INFORMATION
This position is within a very dynamic and constantly evolving area of the Health Plan. The notion of looking to the future and constant forward progression for the betterment of our members is prevalent within this position.
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