Aetna Manager Clinical Health Services- Social Determinents of Health in Philadelphia, Pennsylvania

Req ID: 55171BR

POSITION SUMMARY

Responsible for designing and implementing a health deliver program that ensures the needs of a member in the health system are met, including housing, vocational, residential, and nutritional. Responsible for developing and maintaining strong relationships with community organizations and coordinating services between organizations to address the non-health care needs of our members. Responsible for overseeing multiple teams of Community Health Workers throughout the state of Pennsylvania.

Fundamental Components but not limited to the following:

  • Oversees the design and implementation of the health delivery programs to ensure the needs of clients and their families in the health system are met, specifically surrounding Housing, Vocational, Residential, and Nutritional needs

  • Coordinates with health plan staff (e.g. Member Services, Utilization Management, Care Management) to secure needed services for individual health plan members

  • Utilizes community resource expertise and alternate funding arrangements available for health plan members (waivers, grants) when services are not available under the health plans benefit program

  • Interact with clinical and seniors leaders within the health plan to discuss member specific housing, vocational, nutritional and service needs

  • Develops an action plan that promotes permanent housing, vocational and nutritional needs

  • Assists members with application submissions for relevant programs.

  • Provides training and support in an effort to provide continuous improvement in access to housing, food, vocational and residential services

  • Garner trust and collaboration between individuals and community organizations.

  • Develops staff skills and competencies through training and experience.

  • Leads by example to create desired culture and motivated staff

  • Establishes a positive organization and company image within the health care community.

  • Establishes and maintains ongoing relationships with key agencies, organizations, providers, physicians, hospitals, and advocacy groups

  • Manages, coaches and oversees a team of community health workers

  • Other duties as assigned

    BACKGROUND/EXPERIENCE:

    5+ years in clinical area of expertise preferred in the Pennsylvania local area.

    3+ leadership experience required.

    2+ years Project coordination or project management experience is required.

    EDUCATION

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

    License or Certification one of the following preferred:

    Registered Nurse

    LPC

    LCSW

    Telework Specifications:

    Option for telework will be evaluated after a certain period of employment

    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.