Senior Manager LTSS Aetna Better Health of Virginia

Remote Full-time
About the position The Senior Manager Clinical Health Services at CVS Health plays a crucial role in overseeing and managing clinical team processes within Aetna Better Health of Virginia. This position is responsible for the organization and development of high-performing teams, ensuring effective care management and coordination activities across the continuum of care. The Senior Manager will work remotely and must reside in Virginia, reporting directly to the Sr Principal Clinical Leader. Responsibilities • Oversee and manage clinical team processes to ensure high performance. • Ensure effective functioning of care management and care coordination activities. • Assess, plan, implement, coordinate, monitor, and evaluate care services. • Develop and support clinical team members in their roles. • Communicate effectively with members who have complex medical or social needs. Requirements • Active unrestricted Virginia State License in applicable functional area (RN or BH). • 5+ years in clinical area of expertise. • 2+ years supervisory/managerial experience. • 3+ years care management experience. • 3+ years of experience with personal computer, keyboard navigation, and MS Office Suite applications. • Experience working in health care delivery systems (electronic documentation platform). • Ability to travel for state-required meetings and trainings (up to 20% travel estimated). Nice-to-haves • Medicaid experience - LTSS highly preferred. • Knowledge of regulations, standards, and policies related to medical management. • Certified Case Manager (CCM) certification. 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
Apply Now

Similar Opportunities

Provider Network Contracting Manager-Metro NY

Remote Full-time

[Remote] Actuarial Analyst (Remote, US)

Remote Full-time

Accounting Manager

Remote Full-time

Accounting Manager – Lead the Department, Build the Future

Remote Full-time

Accounts Receivable, Customer Service Operations

Remote Full-time

Accounts Receivable Collection Specialist

Remote Full-time

Accounts Receivable (AR) Specialist

Remote Full-time

Actuarial Analyst - Nyhart - Defined Benefit

Remote Full-time

Senior Actuarial Analyst - Specialty Value Based Care Senior Actuarial Analyst - Specialty Value Based Care

Remote Full-time

Actuary, Life Qualified Actuary Team (Remote Consideration)

Remote Full-time

Experienced Remote Customer Service Representative – Entry-Level Position for Exceptional Career Growth and Development in the Aviation Industry at blithequark

Remote Full-time

Senior Compliance Manager - fully remote!

Remote Full-time

Senior Director of Content Strategy | Workiva | $174k-$296k | Remote (USA)

Remote Full-time

Evening Caregiver – Amazon Store

Remote Full-time

Text Chat Operator - Remote Customer Service Representative - Live Chat Agent - Exceptional Communication Skills Required - Entry Level - $35/Hour

Remote Full-time

Staff UX Writer, Messaging Platform

Remote Full-time

[Hiring] Field Access Manager @Merck

Remote Full-time

MUFG/ Remote

Remote Full-time

**Experienced Remote AR/Medical Claims Representative – Physician Billing and Reimbursement Expert**

Remote Full-time

Part-Time Delta Airlines Data Entry Remote Jobs: Earn $30/Hour - Work From Home Opportunity with Flexible Scheduling and Professional Growth

Remote Full-time
← Back to Home