• Manager, Care Management - Duals Population

    AetnaDetroit, MI 48208

    Job #962890537

  • Req ID: 62856BR

    Job Description

    Oversight and Management of clinical team processes including the organization and development of high performing teams.

    Fundamental Components included but are not limited to:

    Reinforces clinical philosophy, programs, policies and procedures. Communicates strategic plan and specific tactics to meet plan. Ensures implementation of tactics to meet strategic direction for cost and quality outcomes. Creates direction and communicates a business case for change by focusing on and addressing key priorities to achieve business results. Identifies opportunities to implement best practice approaches and introduce innovations to better improve outcomes. Accountable for meeting the financial, operational and quality objectives of the unit. May be accountable for the day-to-day management of teams for appropriate implementation and adherence with established practices, policies and procedures if there is not supervisor position Works closely with functional area managers to ensure consistency in clinical interventions supporting our plan sponsors. Develop, initiate, monitor and communicate performance expectations. May act as a single point of contact for the customer and the Account Team which includes 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. Consistently demonstrates the ability to serve as a model change agent and lead change efforts. Accountable for maintaining compliance with policies and procedures and implements them at the employee level. Ability to evaluate and interpret data, identify areas of improvement, and focuses on interventions to improve outcomes.

    Qualifications Requirements and Preferences:

    5+ years of Case Management or Managed Care experience; Required

    3+ Years of Leadership experience; Required

    Active unrestricted Clinical State Licensure in applicable functional area; Required (eg RN, LPC, LCSW)

    Master's degree in behavioral health field or Registered Nurse License; Required (BSN preferred)

    Ability to complete spreadsheets and reports in Microsoft Excel; Required

    Licenses/Certifications:

    Mental Health - Licensed Clinical Social Worker, Nursing - Registered Nurse

    Required Skills:

    General Business - Communicating for Impact, Leadership - Collaborating for Results, Leadership - Driving Change

    Desired Skills:

    Leadership - Driving Strategic and Organizational Agility, Leadership - Engaging and Developing People

    Benefit Eligibility

    Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

    Job Function: Healthcare

    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.

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