**Rewritten Job Title:**
Director of Care Management - Aetna Better Health of Texas
**Rewritten Job Description:**
About the Role:
Join our team as a Director of Care Management at Aetna Better Health of Texas, where you will play a critical role in shaping the future of healthcare. As a leader in our organization, you will oversee the implementation and execution of our clinical operations, ensuring that our members receive holistic, cost-effective care that meets their unique needs.
Key Responsibilities:
Lead a clinical team in developing and implementing care plans that improve health outcomes, member engagement, and satisfaction.
Develop and manage clinical operations that align with our business strategy, regulatory requirements, and best practices.
Collaborate with cross-functional teams, including claims, member services, compliance, quality, utilization management, and network/provider services.
Serve as a liaison with regulatory and accrediting agencies, ensuring compliance with relevant standards and policies.
Formulate and implement strategies to achieve departmental metrics and provide operational direction.
Develop and participate in presentations and consultations with stakeholders, including existing and prospective clients.
Direct and provide enhancements to business processes, policies, and infrastructure to improve clinical operational efficiency.
Requirements:
Must reside in Texas.
Texas-licensed registered nurse with current unencumbered license and experience in care management.
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.
3+ years of experience with personal computer, keyboard navigation, and MS Office Suite applications.
Must possess reliable transportation and be willing and able to travel in-state up to 15% of the time.
Preferred Qualifications:
Master's degree preferred.
Medicaid, insurance, managed care, experience.
What We Offer:
A competitive salary range of $110,467.50 - $237,930.00.
A bonus, commission, or short-term incentive program.
An award target in the company's equity award program.
A comprehensive benefits package, including medical, dental, and vision benefits.
A 401(k) retirement savings plan and an Employee Stock Purchase Plan.
A fully-paid term life insurance plan and short-term and long-term disability benefits.
Well-being programs, education assistance, free development courses, and a CVS store discount.
Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year.
How to Apply:
Don't miss out on this exciting opportunity. Apply now to become our Director of Care Management at Aetna Better Health of Texas.
Apply Now
Apply Now
**Rewritten Job Description:**
About the Role:
Join our team as a Director of Care Management at Aetna Better Health of Texas, where you will play a critical role in shaping the future of healthcare. As a leader in our organization, you will oversee the implementation and execution of our clinical operations, ensuring that our members receive holistic, cost-effective care that meets their unique needs.
Key Responsibilities:
Lead a clinical team in developing and implementing care plans that improve health outcomes, member engagement, and satisfaction.
Develop and manage clinical operations that align with our business strategy, regulatory requirements, and best practices.
Collaborate with cross-functional teams, including claims, member services, compliance, quality, utilization management, and network/provider services.
Serve as a liaison with regulatory and accrediting agencies, ensuring compliance with relevant standards and policies.
Formulate and implement strategies to achieve departmental metrics and provide operational direction.
Develop and participate in presentations and consultations with stakeholders, including existing and prospective clients.
Direct and provide enhancements to business processes, policies, and infrastructure to improve clinical operational efficiency.
Requirements:
Must reside in Texas.
Texas-licensed registered nurse with current unencumbered license and experience in care management.
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.
3+ years of experience with personal computer, keyboard navigation, and MS Office Suite applications.
Must possess reliable transportation and be willing and able to travel in-state up to 15% of the time.
Preferred Qualifications:
Master's degree preferred.
Medicaid, insurance, managed care, experience.
What We Offer:
A competitive salary range of $110,467.50 - $237,930.00.
A bonus, commission, or short-term incentive program.
An award target in the company's equity award program.
A comprehensive benefits package, including medical, dental, and vision benefits.
A 401(k) retirement savings plan and an Employee Stock Purchase Plan.
A fully-paid term life insurance plan and short-term and long-term disability benefits.
Well-being programs, education assistance, free development courses, and a CVS store discount.
Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year.
How to Apply:
Don't miss out on this exciting opportunity. Apply now to become our Director of Care Management at Aetna Better Health of Texas.
Apply Now
Apply Now