Continuum of Care ManagerPrimary Location: Jacksonville, Florida
Additional Locations: FL-Jacksonville, FL-Miami, FL-Tampa, KS-Topeka, KS-Wichita, MO-Kansas City, MO-St Louis, NE-Omaha, OH-New Albany, TX-Dallas, TX-Houston Apply
This is a full time work at home position.
Assist with program implementation, workflows, support Directors with metrics and special territory programs.
The Continuum of Care Manager is accountable to the PM Director for participating in the development, implementation and ongoing monitoring of program initiatives to address the needs of Aetna members who are receiving services along the continuum of care. The Manager's focus is on early identification of members who need services, coordination of care management services among multiple Aetna program areas, integration of program initiatives within the Care Teams and professional development of staff. The Continuum of Care Manager will also serve as the single point of contact for Clinical Customer Service Managers, will assign cases referred by the Clinical Customer Service Manager to the appropriate Care Team and will respond to issues and inquiries as needed. The Continuum of Care Manager collaborates with regional Medical Directors, Care Management Managers and Care Team Supervisors to enhance the quality of services provided to Aetna members and to ensure adherence to performance targets developed by National Patient Management (NPM)or the region.
3-5 years experience as a Case Manager, Aetna experience as a Case Manager desired.
Case Management Certification desired.
3-5 years experience supervising Case Managers, Aetna experience as a supervisor desired.
1-2 years experience in other care management programs.
5-10 years experience in a clinical setting.
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Nursing/Certified Case Manager (CCM) is desired
Nursing/Registered Nurse is desired
Functional - Nursing/Case Management/7-10 Years
Functional - Leadership/Lead a complex or multifunctional organization/4-6 Years
Technical - System Management/Software Process Improvement/4-6 Years/Power User
Service/Handling Service Challenges/ADVANCED
General Business/Communicating for Impact/MASTERY
ADDITIONAL JOB INFORMATION
Flexible job with a lot of responsibility - good opportunity for growth within CM and leadership training
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 torecruit, 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.
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.
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