Manager of Care Management (RN or LCSW) - Aetna - Dallas, TX

Manager of Care Management (RN or LCSW) - Aetna - Dallas, TX -

Manager of Care Management (RN or LCSW)
Aetna three.91,597 evaluationsDallas, TX

Working At Aetna — the Worth To YouWhat does it imply to work at Aetna? Lots. From packages and advantages that help your monetary, bodily and emotional well being to alternatives to construct your information and broaden your profession, the corporate makes working right here a invaluable expertise in some ways.
POSITION SUMMARY
Candidate may have supervisors as direct studies. The place will present oversight of the Built-in Care Management division.

Elementary Elements:



  • Present oversight of the Care Management division

  • Develop insurance policies, desktops and job aids -Identifies alternatives to implement greatest follow approaches

BACKGROUND/EXPERIENCE desired:
5-7 years in medical areas of experience (pediatrics, maternal and toddler care, illness management)


  • Most popular managed care expertise

  • Care Management expertise is required

  • Supervisory expertise is required

EDUCATION
The very best degree of schooling desired for candidates on this place is a Bachelor’s diploma or equal expertise.

LICENSES AND CERTIFICATIONS
Nursing/Registered Nurse (RN) is desired
Nursing/Licensed Social Employee (LCSW) is desired


FUNCTIONAL EXPERIENCES
Useful – Nursing/Pediatrics/four-6 Years
Useful – Nursing/Maternal and Toddler care/four-6 Years
Practical – Nursing/Illness management/four-6 Years
Practical – Nursing/Medical-Surgical Care/four-6 Years
Practical – Nursing/Case Management/four-6 Years


TECHNOLOGY EXPERIENCES
Technical – Desktop Instruments/Microsoft Outlook/four-6 Years/Finish Consumer
Technical – Desktop Instruments/Microsoft Explorer/four-6 Years/Finish Consumer
Technical – Desktop Instruments/Microsoft Visio/four-6 Years/Finish Consumer
Technical – Desktop Instruments/Microsoft Phrase/four-6 Years/Finish Consumer


ADDITIONAL JOB INFORMATION



  • Management of medical and nonclinical staff processes together with the group and improvement of excessive performing groups.

  • Answerable for the implementation of medical management insurance policies and procedures.

  • Communicates strategic plan and particular techniques to satisfy division and well being plan objectives.

  • Ensures implementation of techniques to satisfy strategic path for value and high quality member care outcomes.

  • Sustaining reviews that present effectiveness of CM program and program analysis

  • Sustaining processes that align with NCQA accreditation

  • Could also be accountable for the day-to-day management of groups if there’s not supervisor place crammed.

  • Interplay with different leaders inside the Aetna Higher Well being of Texas Plan

Aetna is about extra than simply doing a job. That is our alternative to re-form healthcare for America and throughout the globe. We’re creating options to enhance the standard and affordability of healthcare. What we do will profit generations to return.

We care about one another, our clients and our communities. We’re impressed to make a distinction, and we’re dedicated to integrity and excellence.


Collectively we’ll empower individuals to stay more healthy lives.


Aetna is an equal alternative & affirmative motion employer. All certified candidates will obtain consideration for employment regardless of private traits or standing. We take affirmative motion to recruit, choose and develop ladies, individuals of shade, veterans and people with disabilities.


We’re an organization constructed on excellence. We’ve got a tradition that values progress, achievement and variety and a office the place your voice may be heard.


Profit eligibility might range by place. Click on right here to assessment the advantages related to this place.
The way to apply
Please use the “Apply” hyperlink to use to this place. Should you can’t view this hyperlink, you’ll find this place on our web site by visiting: www.aetna.com/working, click on on apply on-line, search openings, and enter 33984br within the key phrase area. Further info on what its wish to work for Aetna and extra can be discovered on our web site.


We worth management, creativity and initiative. In case you share these values and a dedication to excellence and innovation, contemplate a profession with Aetna.


Aetna doesn’t allow the use of tobacco associated merchandise or medicine within the office.


Aetna is an EO/AA Employer-Minorities/Ladies/Veterans/Incapacity.


No search companies please.


You’ll not be requested for private info till you’ve got been absolutely evaluated by way of Aetna’s screening processes. Aetna won’t ever ask candidates for cash. If you wish to confirm the id of somebody who contacts you from Aetna, name 1-800-AETNAHR (1-800-238-6247).





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