Aetna Continuum of Care Manager in Wichita, Kansas
Req ID: 50593BR
Provide comprehensive healthcare management to facilitate delivery of appropriate quality healthcare, promote cost effective outcomes and improve program/operational efficiency involving clinical issues.
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; required
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Registered Nurse RN; Required
Healthcare Management/Case Manager Society of America (CMSA) is desired
General Business/Demonstrating Business and Industry Acumen/MASTERY
General Business/Maximizing Work Practices/MASTERY
General Business/Communicating for Impact/MASTERY
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 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.
Job Function: Health Care