Experienced Clinical Team Lead - Aetna Customer Service, Remote Work from Home Opportunity at $26-$36/Hour

Join Aetna's Dynamic Team as a Clinical Team Lead and Make a Difference in Healthcare Aetna, a leading health insurance company, is seeking an experienced Clinical Team Lead to join our team on a full-time basis. As a Clinical Team Lead, you will play a vital role in coordinating and facilitating comprehensive care for individuals, assessing their needs, developing personalized care plans, and ensuring effective communication across healthcare providers. This is a unique opportunity to work from home and make a positive impact on patients' lives while enjoying a competitive salary and benefits package. About Aetna and Our Culture Aetna is a trusted name in the healthcare industry, committed to providing high-quality health insurance and related services to our members. Our company culture is built on a foundation of respect, integrity, and teamwork. We value diversity, equity, and inclusion, and strive to create a work environment that is engaging, challenging, and rewarding for all employees. As a Clinical Team Lead, you will be an integral part of our team, contributing to our mission to improve the health and well-being of our members. Key Responsibilities As a Clinical Team Lead, you will be responsible for: Serving as a content model expert for the regional team, providing guidance on best practices, quality of interventions, problem resolution, and critical thinking. Mentoring team members to ensure they have the skills and knowledge needed to excel in their roles. Providing real-time support to Clinical Management (CM) staff, ensuring they have the resources and guidance needed to succeed. Ensuring adherence to plan sponsor performance targets and articulating the requirements to meet each performance goal. Providing ongoing education to staff regarding opportunities and processes, and reviewing and understanding of Policies and Procedures. Escalating case resolution and team education post-resolution, and communicating effectively with a variety of audiences. Conducting routine data cleaning to ensure that the electronic health records (EHR) system contains accurate and reliable data. Collaborating effectively with various levels of peers, leaders, and cross-functional partners to maintain quality metrics and identify opportunities for process improvement. Prioritizing tasks, managing multiple projects, and meeting deadlines. Assisting supervisors with reports and analyzing trends to maintain a high level of service. Designing complex collaboration tools to facilitate effective clinical teamwork and information sharing on clinical outcomes. Identifying opportunities to help clinical case managers schedule appointments, coordinate referrals, and share important documents securely. Installing reporting tools and dashboards to help identify trends, measure the impact of interventions, and inform decision-making for quality improvement initiatives. Managing an adjusted caseload and assuming task list duties for CM PTO and work those cases accordingly. Requirements and Qualifications To be successful as a Clinical Team Lead, you will need: Essential Qualifications: Active, unrestricted Kansas State licensure in the applicable functional area (RN or Clinical BH license, e.g., LCPC, LCSW, LMFT, or LMHC). 3+ years of clinical experience required. Willingness and ability to travel up to 25% of their time to meet members face-to-face within the western region of Kansas (Northwest, west-central, and Southwest). Reliable transportation is required; mileage is reimbursed per our company expense reimbursement policy. Preferred Qualifications: 3+ years of managed care experience. Proficiency with computer skills, including navigating multiple systems and keyboarding. Excel experience preferred. Time-efficient and highly organized. Exceptional communication skills. Ability to mentor and support staff to meet business needs. Working knowledge of problem-solving and decision-making skills. Working knowledge of medical terminology. Working knowledge of digital literacy skills. Ability to deal tactfully with customers and community. Ability to handle sensitive information ethically and responsibly. Ability to consider the relative costs and benefits of potential actions to choose the most appropriate option. Ability to function in clinical settings with diverse cultural dynamics of clinical staff and patients. Career Growth Opportunities and Learning Benefits At Aetna, we are committed to the growth and development of our employees. As a Clinical Team Lead, you will have access to: Ongoing training and education to enhance your skills and knowledge. Career advancement opportunities within the company. A collaborative and supportive work environment that encourages learning and innovation. Work Environment and Company Culture As a remote worker, you will have the flexibility to work from home and enjoy a better work-life balance. Our company culture is built on: Respect and integrity. Teamwork and collaboration. Diversity, equity, and inclusion. Employee engagement and well-being. Compensation, Perks, and Benefits We offer a competitive salary and benefits package, including: $26-$36 per hour salary range. Comprehensive health insurance. Retirement savings plan. Paid time off and holidays. Opportunities for professional growth and development. How to Apply If you are a motivated and experienced clinical professional looking for a new challenge, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to [insert contact information]. We look forward to hearing from you! Join our team and make a difference in the lives of our members. Apply now and take the first step towards a rewarding career as a Clinical Team Lead with Aetna. Apply for this job