Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

Supvr, Clinical Hlth Svc

Expired Job

Aetna Inc. Philadelphia , PA 19107

Posted 3 months ago

Job Description:

POSITION SUMMARY

All candidates must be located in PA, DE, or WV

The Supervisor is responsible for oversight of healthcare management staff including the organization and development of high performing teams. Works closely with managers to ensure consistency in clinical interventions supporting our members. Accountable for meeting the financial, operational and quality objectives of the unit.

Fundamental Components:

The Clinical Supervisor role includes (but is not limited to): Overseeing the implementation of healthcare management services for assigned areas, Implementing clinical policies & procedures in accordance with applicable regulatory and accreditation standards (e.g. NCQA, URAC, state and Federal standards and mandates as applicable), Serving as a content model expert and mentor to the team regarding practice standards, quality of interventions, problem resolution and critical thinking Ensuring implementation and monitoring of best practice approaches and innovations to better address the member's needs across the continuum of care Developing, initiating, monitoring and communicating performance expectations Consistently demonstrating the ability to serve as a model change agent and lead change efforts Creating a positive work environment by acknowledging team contributions, soliciting input, and offering personal assistance, when needed. Being accountable for maintaining compliance with policies and procedures and implements them at the employee level.

BACKGROUND/EXPERIENCE:

RN licensure required
3+ years clinical experience required (post-acute, med-surg preferred)

Utilization management experience preferred

Supervisory experience preferred

Computer literacy and experience familiarity with Microsoft Excel, Word, PowerPoint and web-based applications

Ability to work with people in such a manner as to build high morale and group commitment to goals and objectives

EDUCATION

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

LICENSES AND CERTIFICATIONS

Nursing/Registered Nurse (RN) is required

Nursing/Certified Case Manager (CCM) is desired

FUNCTIONAL EXPERIENCES

Functional

  • Nursing/Medical-Surgical Care/4+ Years

Functional

  • Medical Management/Medical Management

  • Managed Care/Insurance Clinical Staff/1+ Years

Functional

  • Management/Management

  • Health Care Delivery/4+ Years

TECHNOLOGY EXPERIENCES

Technical

  • Aetna Applications/Aetna Total clinical View/1+ Years/End User

Technical

  • Desktop Tools/Microsoft Word/1+ Years/End User

Technical

  • Desktop Tools/Microsoft Outlook/1+ Years/End User

Technical

  • Desktop Tools/TE Microsoft Excel/1+ Years/End 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.

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.


See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Analyst 2 Customer Svc Strategy

Comcast

Posted 3 days ago

VIEW JOBS 11/19/2018 12:00:00 AM 2019-02-17T00:00 Business Unit: Comcast brings together the best in media and technology. We drive innovation to create the world's best entertainment and online experiences. As a Fortune 50 leader, we set the pace in a variety of innovative and fascinating businesses and create career opportunities across a wide range of locations and disciplines. We are at the forefront of change and move at an amazing pace, thanks to our remarkable people, who bring cutting-edge products and services to life for millions of customers every day. If you share in our passion for teamwork, our vision to revolutionize industries and our goal to lead the future in media and technology, we want you to fast-forward your career at Comcast. Employees at all levels are expected to: * Understand our Operating Principles; make them the guidelines for how you do your job * Own the customer experience-think and act in ways that put our customers first, give them seamless digital options at every touchpoint, and make them promoters of our products and services * Know your stuff-be enthusiastic learners, users and advocates of our game-changing technology, products and services, especially our digital tools and experiences * Win as a team-make big things happen by working together and being open to new ideas * Be an active part of the Net Promoter System-a way of working that brings more employee and customer feedback into the company-by joining huddles, making callbacks and helping us elevate opportunities to do better for our customers * Drive results and growth * Respect and promote inclusion and diversity * Do what's right for each other, our customers, investors and our communities We are looking to hire an Analyst to be the next valued member of our customer service strategy team! The ideal candidate is naturally curious, hard-working and can easily translate data into actionable insights. The Analyst will measure performance, analyze agent/customer behaviors and trends, build dashboards and transform raw data into concise intelligence that will help drive business decisions. The Analyst will work cross-functionally with other teams including Customer Service, Business Intelligence, Operations and Marketing. The ideal candidate is passionate about data-driven decision making and able to do analysis on large unstructured data sets and quickly grasp new technologies. Combination of education and experience will be considered. Core Responsibilities: * Designs and implements reporting solutions enabling stakeholders to make effective decisions. * Conducts ad hoc data analysis and data quality investigations * Implements training and documentation solutions that enable business stakeholders to get the most out of our self-serve reporting tools * Reporting on sales incentive performance * Analyze granular data for segment and trend analysis * Evaluate the effectiveness of software/product releases and conduct readouts on results * Monitor current KPIs * Analyzing and mining data to identify patterns and correlations among various data points * Mapping and tracing data from system to system in order to solve a given business or system problem * Partner with Sr. Analyst and Channel Leads to effectively present findings in weekly, monthly and ad-hoc executive summaries * Identifies issues, analyzes available data and information, and recommends changes to management. * Creates and maintains multiple operational reporting tools. * Regular, consistent and punctual attendance. Must be able to work nights and weekends, variable schedule(s) and overtime as necessary. * Other duties and responsibilities as assigned. Job Specification: * Bachelors of Science in any related fields * Minimum of 2 years of experience in analytics * Understanding of programming logic, although no experience with a specific programming language is required. * Adaptable, proactive and willing to take ownership * Good communication skills, ability to analyze and clearly articulate complex issues and technologies * Strong attention to detail * Must be able to function independently * Tableau (or any similar tool) Proficiency * Strong MS Office (Word, Excel, PPT, Outlook) is required * Wave Analytics or SQL experience is a plus Comcast is an EOE/Veterans/Disabled/LGBT employer Comcast Philadelphia PA

Supvr, Clinical Hlth Svc

Expired Job

Aetna Inc.