Senior Manager, Care Management (Remote)
We are seeking a highly skilled and experienced Senior Manager, Care Management to join our team at Aetna Better Health of Texas. As a Senior Manager, you will be responsible for developing, implementing, and promoting health services strategies, policies, and programs that drive the delivery of high-quality healthcare to our members.
In this role, you will oversee and manage a team of care managers, ensuring the effective operation of care management and care coordination activities across the continuum of care. You will also serve as a technical, professional, and business resource, providing expertise and guidance to internal and external stakeholders.
Our ideal candidate will have a strong background in clinical management, with a minimum of 7 years of experience in a clinical setting and 7 years of administrative/management experience. You will also have a dynamic, unrestricted Texas State License in the appropriate functional area (e.g., RN, LPC, LCSW) and a bachelor's degree in a related field.
We offer a competitive salary range, with a typical salary range of $35-45 per year, as well as opportunities for professional growth and development. If you are a motivated and experienced healthcare professional looking to make a difference in the lives of our members, we encourage you to apply for this exciting opportunity.
Key Responsibilities:
- Develop, implement, and promote health services strategies, policies, and programs that drive the delivery of high-quality healthcare to our members
- Oversee and manage a team of care managers, ensuring the effective operation of care management and care coordination activities
- Provide technical, professional, and business expertise to internal and external stakeholders
- Ensure compliance with contract requirements and regulatory standards
- Identify opportunities to implement best practices and innovations to improve outcomes
- Collaborate with cross-functional teams to achieve business objectives
Requirements:
- Dynamic, unrestricted Texas State License in the appropriate functional area (e.g., RN, LPC, LCSW)
- 7 years of experience in a clinical setting
- 7 years of administrative/management experience
- Care management experience
- Knowledge of regulations, standards, and policies related to clinical management
- 3+ years of experience in computer, keyboard navigation, and MS Office Suite applications
- Bachelor's degree in a related field
Preferred Qualifications:
- Managed care experience
- Certified Case Manager (CCM)
- Texas Medicaid experience – specifically TX STAR and CHIP
If you are a motivated and experienced healthcare professional looking to make a difference in the lives of our members, we encourage you to apply for this exciting opportunity. Apply Now or Apply Now
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