Senior Manager, Care Management (Remote)

Remote Full-time
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

Apply Now

Apply Now

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