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Hours Full-time, Part-time
Location New Albany, Ohio

About this job

This position is in-office in New Albany, OH. All candidates - including both externals & internals - must be located within a commutable distance from the New Albany office.

POSITION SUMMARY

This position will oversee an Aetna One Premier Team within the National Accounts Care Management Solutions Team in New Albany, Ohio. Strong strategic thinking, excellence in decision making along with the ability to drive for results are daily components of this role.

This role will be responsible for development, implementation, support, and promotion of Health Services strategies, tactics, policies, and programs that drive the delivery of quality healthcare to establish competitive business advantage for Aetna. Health Services strategies may include policies and workflows, utilization management, case management and quality.

Fundamental Components:

This is a position within the National Accounts Care Management Solutions Team located in New Albany, Ohio and will oversee the operations of the UMNC, CMA and CM staff who are administering the In Touch Care Management Model.

Responsibilities of the position include but are not limited to:

-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 and on-going training content,

-Develop, initiate, monitor and communicate performance expectations,

-Ensure the team's understanding and use of information system capability and functionality,

-Participate in the recruitment and hiring process for staff,

-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 a model change agent and lead change efforts.

BACKGROUND/EXPERIENCE desired:

-Minimum 5+ years of clinical experience is required.

-Previous management or supervisory experience is required.

-Critical analytical thinking skills

-Effective communication

LICENSES AND CERTIFICATIONS

An active & unrestricted Registered Nurse (RN) license is required.

Certified Case Manager (CCM) is preferred.

EDUCATION

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

FUNCTIONAL EXPERIENCES

Functional - Nursing/Case Management/4-6 Years

Functional - Nursing/Concurrent Review/discharge planning/4-6 Years

Functional - Nursing/Medical-Surgical Care/4-6 Years

Functional - Leadership/Lead a business in different geographies or multiple markets/1-3 Years

Functional - Leadership/Lead a complex or multifunctional organization/1-3 Years

TECHNOLOGY EXPERIENCES

Technical - Aetna Applications/Aetna Total clinical View/4-6 Years/End User

Technical - Aetna Applications/Aetna Strategic Desktop Reporting/4-6 Years/End User

Technical - Desktop Tools/Microsoft PowerPoint/1-3 Years/End User

Technical - Desktop Tools/Microsoft Word/4-6 Years/Power User

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.

We conduct pre-employment drug and background testing. Benefit eligibility may vary by position. Click here to review the benefits associated with this position. Employment Type Regular Career Band Description Management