Our Ability Jobs

Job Description

This is a telework position with up to 10% travel toNorthern to Central parts/regions in NJ. Standard working hours: Monday -Friday 8am to 5 pmEST.At Aetna Better Health of New Jersey, we believe that ourmembers should have the opportunity to be leaders in theircare. Our healthcare professionals are invested inconnecting and servicing the Medicaid population in all 21counties of New Jersey. This is an opportunity to make animpact on the lives of others by getting to know theirstories to improve the quality of their lives. The mostrewarding aspect of the MLTSS care management role isevidenced by the positive outcomes of collaborative effortsbetween the care manager, member, and servicingproviders.Develop, implement, support, and promote health servicestrategies, tactics, policies, and programs that drive thedelivery of quality healthcare to our members. Healthservice strategies, policies, and programs are comprised ofutilization management, quality management, networkmanagement, clinical coverage and policies. The positionrequires leadership, advanced clinical judgment and criticalthinking skills in order to facilitate appropriate physical,behavioral health, psychosocial wrap around services. Thecare management supervisor will be responsible dailyprogram 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 CareManagement staff. The supervisor is responsible for thedaily operations of the MLTSS Program and contractualadherence. The Supervisor will oversee staff who coverMiddlesex and surrounding countiesSuccessful completion of the NJ Choice certification is acontingency of employment. As per NJ Division of AgingServices, Office of Community Choice Options guidance,an exam score of 80% or higher is required, along withsuccessful completion of the State training modules, andfield mentoring component.

Pay Range

The typical pay range for this role is:

Minimum: 78,000

Maximum: 168,000

Please 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 Qualifications

-Minimum of 4 years of experience serving members/patients with special needs.-Minimum of 1 year of previous leadership experience managing teams and personnel.-Active unrestricted State Licensure in applicable functional area. (eg RN, LSW, LCSW) in the state of NJ.-Willing and able to travel up to 10% of their time to meet and support staff in as needed anywhere in Northern to Central parts/regions in NJ -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.

Preferred Qualifications

Excellent assessment, writing and communication skillsare required.-MCO experience

Education

Bachelor’s degree in nursing required for RN license andMaster's degree required for BH license.

Business Overview

Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. 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.