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Supervisor, Clinical Health Service | Supervisor in Executive Job at Aetna in New Orleans LA | 5421

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Supervisor, Clinical Health Service

Location:
New Orleans, LA
Description:

Description: Prefer applicants in Louisiana, Georgia, or Alabama.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.62027 Fundamental Components: Oversees the implementation of healthcare management services for assigned functional area Implements clinical policies & procedures in accordance with applicable regulatory and accreditation standards (e.g. NCQA, URAC, state and federal standards and mandates as applicable) Serve as a content model expert and mentor to the team regarding practice standards, quality of interventions, problem resolution and critical thinking Ensure implementation and monitoring of best practice approaches and innovations to better address the member's needs across the continuum of care May act as a liaison with other key business areas. May develop/assist in development and/review new training content May collaborate/deliver inter and intra-departmental training sessions Protects the confidentiality of member details and adheres to company policies regarding confidentiality Manages resources responsible for identification of members, development and implementation of care plans, enhancement of medical appropriateness and quality of care and monitoring, evaluating and documenting of care Develop, initiate, monitor and communicate performance expectations Ensures the team's understanding and use of details system capability and functionality May have responsibility for their own case load work May act as a single point of contact for the customer and the Account Team including: participation in customer meetings, implementation and oversight of customer cultural requirements, and support implementation of new customers. Participate in the recruitment and hiring process for staff using clearly defined requirements in terms of education, experience, technical and performance skills Assesses developmental needs and collaborates with others to identify and implement action plans that support the development of high performing teams Establish an environment and work style that promotes the concept of teamwork, cross product integration, and continuum of care thinking that results in strong performance Consistently demonstrates the expertise to serve as an model change agent and lead change efforts Create a positive working atmosphere by acknowledging team contributions, soliciting input, and offering personal assistance, when needed Accountable for maintaining compliance with policies and procedures and implements them at the employee level Experience Experience: RN licensure OR LCSW required5+ years clinical requirements requiredCase managerial experience preferredHome health experience wantedManaged care experience desiredComputer literacy and experience familiarity with Ms excel, Word, and web-based applicationsExpertise to work with people in such a manner as to build high morale and group commitment to goals and objectivesExpertise to evaluate and interpret data, identify areas of improvement, and focus on interventions to improve outcomesExpertise to communicate effectively with Providers, Members, Staff and other Leaders both in oral and written formats (e.g., may provide support to the sales staff & network staff via onsite customer visits and/or presentations) Additional Position summary: Supervisory strongly preferredCase managerial experience preferredManaged care experience desiredExpertise to communicate effectively with providers, members, staff and other leaders both in oral and written formats (e.g., may provide support to the sales staff & network staff via onsite customer visits and/or presentations)Expertise to evaluate and interpret data, identify areas of improvement, and focus on interventions to improve outcomes.Expertise to work with people in such a manner as to build high morale and group commitment to goals and objectives.Computer literacy and experience familiarity with Ms excel, Word, and web-based applications desired. Desired Skills: Leadership - Collaborating for Results, Leadership - Creating a World Class Workforce, Leadership - Driving a Culture of Compliance Functional Skills: Nursing - Case Management Technology Experience: Desktop Tool - Microsoft Outlook, Desktop Tool - Word, Desktop Tool - TE Ms excel Education: Mental Health - Licensed Clinical Social Worker, Nursing - Registered Nurse Potential Telework Position: Yes Percent of Travel Required: ten - 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. Applicant Privacy Details: Aetna takes our applicant's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal info (Social Security Number, Credit card info for direct deposit, etc.) from you via e-mail. Any requests
Company:
Aetna
Industry:
Other
Posted:
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More About this Listing: Supervisor, Clinical Health Service
Supervisor, Clinical Health Service is a Executive Supervisor Job at Aetna located in New Orleans LA. Find other listings like Supervisor, Clinical Health Service by searching Oodle for Executive Supervisor Jobs.