Medicare Care Management Nurse Supervisor--RN
Aetna - Southfield, MI

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Medicare experience is required. There may be some international travel required in the future.
Hiring for a February start date.POSITION SUMMARY
The Supervisor is responsible for management of medical services staff including the organization and development of high performing teams. Works closely with managers (re: Case/Disease Management) ensuring consistency in care management interventions across membership. Facilitates effective interfaces among team members, as well as across teams, providers and Aetna departments. Responsible for the day-to-day implementation of Aetna''s medical management services policies and procedures. Accountable for meeting the financial, operational and quality objectives of the unit.
The supervisor is responsible for oversight/management for a team of clinical and clinical support personnel who will outreach to Aetna''s Medicare Members who have been identified as having gaps in their care The staff, known as the STAR Engagement Team, will assist/educate our Members regarding any barriers/concerns/needs that may affect their ability to obtain the medical care they require.
The supervisor will have responsibility for the creation of workflows, scripting and specific training needs for the STAR team. This position requires the ability to work with people in such a manner to build high morale and group commitment to goals and objectives. Computer literacy a must. Medicare experience and knowledge of the STAR program is desirable. CM certification preferred.
EDUCATION
The highest 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
Nursing/Certified Case Manager (CCM) is desired
FUNCTIONAL EXPERIENCES
Functional - Nursing/Case Management/4-6 YearsFunctional - Quality Management/Quality Management/1-3 Years
Funtional - Leadership/Supervisory experience/Managing employees/1-3 Years
TECHNOLOGY EXPERIENCES
Technical - Aetna Applications/Aetna Total clinical View/4-6 Years
Technical - Desktop Tools/Microsoft PowerPoint/1-3 Years
Technical - Aetna Applications/Aetna Strategic Data Warehouse/4-6 Years
REQUIRED SKILLS
Finance/Delivering Profit and Performance
Leadership/Collaborating for Results
Leadership/Creating a World Class Workforce
DESIRED SKILLS
Leadership/Engaging and Developing People
Leadership/Driving a Culture of Compliance
General Business/Communicating for Impact

Please note that benefit eligibility may vary by position. Clickhereto review the benefits associated with this position.
Aetna does not permit the use of tobacco related products or drugs in the workplace.
Job Function: Health Care
Job Function: Health Care
Job Function: Health Care
Job Function: Health Care
Job Function: Health Care
Job Function: Health Care
Job Function: Health Care
Job Function: Health Care
Job Function: Health Care
Job Function: Health Care
Job Function: Health Care
Job Function: Health Care
Job Function: Health Care
Job Function: Health Care
Job Function: Health Care
Job Function: Health Care

Aetna - 18 months ago - save job - block
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