Manager, Delegation Oversight Unit

Aetna   •  

San Diego, CA

Industry: Healthcare

  •  

5 - 7 years

Posted 47 days ago

Description:

The Manager of the Delegation Oversight Unit develops, implements, supports and promotes clinical strategies, policies and programs that drive the delivery of quality healthcare to our members. The Manager, Delegation Oversight Unit is responsible for the day-to-day oversight and management of team processes including the organization and development of high performing teams. The primary responsibility centers around ensuring oversight and deliverables of our independent practice associations (IPA's) and leading the team that supports the work.


Fundamental Components:

Fundamental Components include, but not limited to:

  • Reinforces clinical philosophy, programs, policies and procedures. Communicates strategic plan and specific tactics to meet plan. Ensures implementation of tactics to meet strategic direction for cost and quality outcomes.
  • Creates direction and communicates a business case for change by focusing on and addressing key priorities to achieve business results. Identifies opportunities to implement best practice approaches and introduce innovations to better improve outcomes. Accountable for meeting the financial, operational and quality objectives of the unit. Accountable for the day-to-day management of teams for appropriate implementation and adherence with established practices, policies and procedures.
  • Works closely with functional area managers to ensure consistency in clinical interventions supporting our plan. Develop, initiate, monitor and communicate performance expectations.
  • Participate in the recruitment and hiring process for staff using clearly defined requirements in terms of education, experience, technical and performance skills. Assesses developmental needs and collaborates with others to identify and implement action plans that support the development of high performing teams.
  • Consistently demonstrates the ability to serve as a model change agent and lead change efforts.
  • Accountable for maintaining compliance with policies and procedures and implements them at the employee level. Ability to evaluate and interpret data, identify areas of improvement, and focuses on interventions to improve outcomes.



Background Experience:


5+ years Clinical Practice experience; Required (Acute Care preferred)


3+ years utilization management experience is; Required


1+ years leadership and supervisory experience is; Required

Delegation Oversight Experience;

Preferred


An active and unrestricted Registered Nurse (RN) Licensure within the State of California


Bachelor's in Nursing required and Master's degree in healthcare or related field preferred