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Associate Manager, Clinical Health Services RN (Teaneck)

Associate Manager, Clinical Health Services RN (Teaneck)

CVS HealthTeaneck, NJ, United States
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Job DescriptionAt Aetna Better Health of New Jersey, we believe that our members should have the opportunity to be leaders in their care. Our healthcare professionals are invested in connecting and servicing the Medicaid population in all 21 counties of New Jersey. This is an opportunity to make an impact on the lives of others by getting to know their stories to improve the quality of their lives. The most rewarding aspect of the MLTSS care management role is evidenced by the positive outcomes of collaborative efforts between the care manager, member, and servicing providers.Develop, implement, support, and promote health service strategies, tactics, policies, and programs that drive the delivery of quality healthcare to our members. Health service strategies, policies, and programs are comprised of utilization management, quality management, network management, clinical coverage and policies. The position requires leadership, advanced clinical judgment and critical thinking skills in order to facilitate appropriate physical, behavioral health, psychosocial wrap around services. The care management supervisor will be responsible daily program oversight, staff recruitment, staff retention, problem solving, inter and intradepartmental collaboration, direct collaboration with state partners.The Care Management Supervisor shall be responsible forthe management and supervision of the MLTSS Care Management staff. The supervisor is responsible for the daily operations of the MLTSS Program and contractual adherence.Candidate must reside in the state of New JerseyPay RangeThe typical pay range for this role is : Minimum : 74,600Maximum : 160,700Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.Required QualificationsBachelors degree in nursing and has a minimum of four (4) years of experience serving enrollees with special needs.Excellent assessment, writing and communication skills are required.1+ years of previous leadership experience.Successful completion of the NJ Choice certification is a contingency of employment. As per NJ Division of Aging Services, Office of Community Choice Options guidance, an exam score of 80% or higher is required, along with successful completion of the State training modules, and field mentoring component.COVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred QualificationsMCO experience.EducationBachelors degree in nursingBusiness OverviewAt Aetna, a CVS Health company, we are joined in a common purpose : helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

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Clinical Manager • Teaneck, NJ, United States