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Director of Integrated Care Management

Primary Location: Overland Park, Kansas
Additional Locations: KS-Overland Park
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Description:
Are you ready to join a company that is changing the face of health care across the nation? Aetna Better Health of Kansas is looking for people like you who value excellence, integrity, caring and innovation. As an employee, you will join team dedicated to improving the lives of KanCare members. Our vision incorporates community-based health care that works. We value diversity. Align your career goals with Aetna Better Health of Kansas, and we will support you all the way.

The Director of Care Management - Service Coordination is responsible for all Service Coordination activities within the Service Coordination Program for KanCare members. This position works closely with the Behavioral Health Supports Director and the Health Services Director to provide integrated, holistic care for all KanCare populations covered under the KanCare contract. The position develops, implements, supports, and promotes Health Services strategies, tactics, policies, and programs that drive the delivery of quality healthcare to establish competitive business advantage for Aetna. Health Services strategies, policies, and programs are comprised of care management and clinical coverage and policies; oversight and management of care management clinical team processes including the organization and development of high performing teams.

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Fundamental Components:
Fundamental Components:
- Reinforces clinical philosophy, programs, policies, and procedures.
- Communicates strategic plan and specific tactics to meet plan.
- Ensures implementation of tactics to meet strategic direction for cost and quality outcomes.
- Creates direction and communicates a business case for change by focusing on and addressing key priorities to achieve business results.

- Assesses developmental needs and collaborates with others to identify and implement action plans that support the development of high performing teams.

Background Experience:
Qualification Requirements:
- RN with active and unencumbered KS license (BSN preferred) OR a master’s level Behavioral Health professional independently licensed in KS (e.g., LSCSW, LCPC, LCP, LCMFT, LCAC) is Required.

- Licensed clinician with at least five (5) years Case/Care Management experience; Required
- 1+ years' experience managing chronic conditions; Required
- Experience in Medicaid and knowledge about all KanCare Waiver programs; Preferred
- 5+ years clinical leadership experience with the ability to synthesize program performance and clinical outcomes; Required
- Managed Care Experience; Required
- Demonstrated management experience selecting, motivating and leading teams; mentoring and coaching staff; Required.
- Exceptional communication skills (verbal, written and presentation); Required.
- Reporting: ability to understand and create reports with productivity and service metrics and identify gaps; Required.
- Computer skills: advanced in Microsoft Office suite (Word, Excel) and proficient in web and Access databases; Required.
- Behavioral health experience strongly preferred

- I/DD experience is Preferred
- Experience in self-directed care is Preferred


Licenses:
At least ONE of the following is required (active and unrestricted for the State of KS):
- Registered Nurse (RN) License
- Licensed Specialist Clinical Social Worker (LSCSW)
- Licensed Clinical Professional Counselor (LCPC) -
- Licensed Clinical Psychologist (LCP)
- Licensed Clinical Marriage and Family Therapist (LCMFT)
- Licensed Clinical Addiction Counselor (LCAC)



Additional Job Information:
Offices in Overland Park, Wichita, and Topeka; position could require in-state travel and travel to corporate Medicaid offices in Phoenix, AZ. Approximately 10-25% travel involved; primarily in-state.

Required Skills:
Leadership - Driving a Culture of Compliance, Leadership - Driving Change

Desired Skills:
Leadership - Collaborating for Results, Leadership - Developing and Executing Strategy, Leadership - Engaging and Developing People

Functional Skills:
Clinical / Medical - Disease management, Clinical / Medical - Management: > 25 employees

Technology Experience:
Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft Word, Desktop Tool - TE Microsoft Excel

Education:
Mental Health - Certified-Advanced Social Work Case Manager, Mental Health - Licensed Professional Counselor, Nursing - Registered Nurse

Percent of Travel Required:
10 - 25%

EEO Statement:
Aetna is an Equal Opportunity, Affirmative Action Employer

Benefit Eligibility:
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Candidate Privacy Information:
Aetna takes our candidate'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.

Click To Review Our Benefits (PDF)

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