Supervisor, Clinical Health ServicePrimary Location: Bethlehem, PA
Additional Locations: OH-Richfield, PA-Bethlehem Apply
The Supervisor is responsible for oversight of healthcare management staff including the organization and development of high performing teams. Works closely with functional area managers to ensure consistency in clinical interventions supporting our members. Accountable for meeting the financial, operational and quality objectives of the unit.
63997Fundamental Components: The Clinical Supervisor role includes (but is not limited to): Overseeing the implementation of healthcare management services for assigned functional area 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 an 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 Hours of operation are 8:00 AM to 9:00 PM EST Monday - Friday. Evening shift coverage rotation 1-2 times a month. Background Experience: An active unrestricted RN license is required (BSN preferred)
3+ years clinical experience required
Case management experience preferred
Leadership experience is preferred
Computer literacy and experience familiarity with Microsoft Excel, Word, 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 Required Skills: General Business - Communicating for Impact, Leadership - Collaborating for Results, Leadership - Engaging and Developing People Desired Skills: Benefits Management - Maximizing Healthcare Quality, Benefits Management - Understanding Clinical Impacts, Finance - Servicing Customers Profitably Functional Skills: Management - Management - Health Care Delivery, Medical Management - Medical Management - Managed Care/Insurance Clinical Staff, Nursing - Medical-Surgical Care Technology Experience: Aetna Application - Aetna Total clinical View, Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft Word Education: Nursing - Registered Nurse (RN) Potential Telework Position: No Percent of Travel Required: 0 - 10% 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.
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