Skip to main content

A new day in healthcare. Together, CVS Health and Aetna help people on their path to better health.

Supervisor, Concurrent Review

Primary Location: Richmond, Virginia
Additional Locations: VA-Richmond
Apply
Onsite Supervisory position in Richmond, VA office.

POSITION SUMMARY
This supervisor will have oversight of our Concurrent Review Utilization Review nurses. They will keep reports and cover utilization review as needed. Schedule standard business hours Monday-Friday, no nights, some on call for weekends and holidays.

Fundamental Components but not limited to the following:
Review of notice of action in compliance with regulatory standards, maintain oversight of turnaround times, audit direct reports and participate in interdisciplinary rounds

BACKGROUND/EXPERIENCE:
3+ years of RN experience
Behavioral health experience preferred
Utilization review experience preferred
Prior leadership experience is required

EDUCATION
The minimum level of education desired for candidates in this position is a Associate's degree or equivalent experience.

LICENSES AND CERTIFICATIONS
Nursing/Registered Nurse (RN) is required


FUNCTIONAL EXPERIENCES
Functional - Management/Management - Medicare/1-3 Years
Functional - Medical Management/Medical Management - Concurrent Review/4-6 Years
Functional - Medical Management/Medical Management - Hospital/1-3 Years
Functional - Medical Management/Medical Management - Managed Care/Insurance Administration/1-3 Years
Functional - Nursing/Concurrent Review/discharge planning/1-3 Years


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.

Click To Review Our Benefits (PDF)

Apply

Jobs for you

Recently Viewed Jobs

You do not have any recently viewed jobs

Your Saved Jobs

You do not have any saved jobs

Sign up for Job Alerts

Join our Talent Community

At Aetna, we are pioneering a total approach to health and wellness and we need talented candidates like you to join our team. Become a member of our talent community to be the first to know about career initiatives that match your skills and interests as they become available, in addition to details on upcoming events, networking opportunities, and news about Aetna.

Join Our Talent Community

Sign up to receive information about job openings that are tailored to your skills and interests. Plus, get the latest career news from Aetna.