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.

　　A Brief Overview

　　Aetna Better Health of Kansas, is committed to helping people on their path to better health. By taking a total and connected approach to health, we guide and support our members so they can get more out of life, every day. We are looking for talent like you who value excellence, integrity, caring and innovation. As an employee, you’ll join a team dedicated to improving the lives of Aetna Better Health of Kansas members. We value diversity and are dedicated to helping you achieve your career goals.

　　Designs and implements Clinical Health medical services, leveraging industry-proven procedures and best practices. Assists with clinical Health Service programs, procedures, and services.What you will do

　　Owns responsibility for the oversight of Long-Term Services and Supports (LTSS) and case management staff, including progressing initiatives for high-performing health service teams.

　　Works closely with functional Health Services managers in order to ensure ongoing consistency and accuracy in clinical interventions supporting current members.

　　Takes accountability for completing tasks aimed to successfully achieve the financial, operational, and quality objectives of the work area.

　　Functions as a key resource to healthcare members for governmental, state, local, and legal initiatives including the Consolidated Omnibus Budget Reconciliation Act (COBRA), Emergency Medical Treatment & Labor Act (EMTALA), and Medicare acts and regulations.

　　Assists in implementing and sustaining action plans, initiatives, and strategies for Clinical Health Services policies and procedures.

　　Provides application expertise to Health Services account managers as needed, to aid in the retention of existing clients by improving team member use of healthcare resources and tools.

　　Partners with patient resources and divisional management, Clinical Education, and other key departments to assist in the evaluation of performance initiatives, subsequently recommending appropriate training to positively impact outcomes.

　　Works to implement effective Clinical Health Services change management plans when new initiatives are rolled out or enhanced by upper management.

　　Facilitates regular staff meetings to ensure all team members are fully versed on ongoing as well as new work area policies, procedures, and expectations.

　　Required Qualification:

　　Active and unrestricted RN or BH license ( LMSW, LCPC) in KS.

　　2+ years of case management experience

　　2+ years of supervisorial or leadership experience.

　　Kansas Resident ( or candidates residing in MO with KS license)

　　Willing and able to travel up to 15% of their time anywhere in KS.

　　Reliable transportation required; Mileage is reimbursed per our company expense reimbursement policy.

　　Preferred qualifications:

　　2+ years of Managed care or MCO experience.

　　2+ years of Home and Community Based Services

　　Advanced collaboration and teamwork skills.

　　Advanced growth mindset skills (agility and developing yourself and others).

　　Advanced skills in execution and delivery (planning, delivering, and supporting).

　　Ability to consider the relative costs and benefits of potential actions to choose the most appropriate option.

　　Advanced digital literacy skills

　　Advanced problem solving and decision making skills.

　　Advanced knowledge of medical terminology.

　　Education

　　Master's Degree required for BH license.

　　Associate required for RN license, (BSN Preferred)

　　Pay Range

　　The typical pay range for this role is:

　　$80,340.00 - $173,000.00

　　This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

　　CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

　　You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

　　CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through [email protected] If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.