Director of Care Management - Aetna Better Health of Louisiana - Remote
About the position Responsibilities • Oversee the implementation and ongoing execution of the strategic and operational business plan for clinical operations. • Lead a clinical team that supports timely Health Risk Screenings, Comprehensive Assessments, and Care Plan development. • Develop and manage clinical operations focused on improving clinical and financial outcomes, member engagement, and satisfaction. • Serve as a liaison with regulatory and accrediting agencies and other health business units. • Formulate and implement strategies for achieving department/unit metrics and provide operational direction. • Responsible for cross-functional integration of care management with core business functions. • Support quality improvement projects through successful implementation. • Develop and participate in presentations and consultations to stakeholders. • Direct enhancements to business processes, policies, and infrastructure to improve operational efficiency. • Implement and monitor business plans and oversee transitions impacting clinical operations. Requirements • Active, current and unrestricted Licensure in state of Louisiana (LCSW, LCPC, RN, LMFT). • Nationally recognized case management certification, or ability to obtain within 90 days. • 5+ years of clinical practice experience in physical or behavioral healthcare. • 5+ years of management or clinical leadership experience. • Ability to synthesize program performance and clinical outcomes. • 3+ years of experience with personal computer, keyboard navigation, and MS Office Suite applications. Nice-to-haves • Master's degree preferred. • Experience in Medicaid, insurance, or managed care. Benefits • Full range of medical, dental, and vision benefits. • 401(k) retirement savings plan. • Employee Stock Purchase Plan. • Fully-paid term life insurance plan. • Short-term and long-term disability benefits. • Well-being programs and education assistance. • Free development courses. • CVS store discount and discount programs with partners. • Paid Time Off (PTO) and paid holidays. Apply tot his job