|Registered Nurse (RN) - Clinical Supervisor|
|0 - 10%|
This is an in-office position in Aetnas New Albany, OH location. Current WAH internals can be considered, but they must be within commuting distance of New Albany and be comfortable with occasional travel to the office.
The Supervisor is responsible for oversight of healthcare management staff - clinical and non-clinical - including the organization and development of high performing teams. This position works closely with functional area managers to ensure consistency in clinical interventions supporting our members and is accountable for meeting the financial, operational and quality objectives of the unit.
The Supervisor oversees the Operations of Aetna One Premier Medical Management services including but not limited to Precertification and Utilization Management. Monitors daily performance to ensure business goals are met and compliance with Aetna policies and procedures is maintained. Serves as a content model expert and mentor to the team regarding practice standards, quality of interventions, problem resolution and critical thinking. Also protects the confidentiality of member information and adheres to company policies regarding confidentiality. The successful candidate must demonstrate strong communication skills among team members with diverse educational and professional backgrounds. Open communication, mutual respect and fairness in decision making is a must. In addition, flexibility, and a willingness to lead, learn and grow in a fast paced, dynamic environment are essential. Requires a current, unrestricted RN license.
The highest level of education desired 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 -Nursing/Concurrent Review/Discharge Planning/3-5 Years
Functional -Medical/Utilization Management/Precertification/3-5 Years
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Technical - Call Management/CMS/1-3 Years
Please note that benefit eligibility may vary by position. Clickhereto review the benefits associated with this position.
Aetna does not permit the use of tobacco related products or drugs in the workplace.