Regional Clinical Manager - Aetna SKY Northern Bluegrass Region - RN or BH
Core
Oversees a regional care management team for Kentucky SKY members, including youth in foster care, juvenile justice, and those with complex behavioral health needs.
Role type
Senior Regional Clinical Manager (Behavioral Health/Nursing)
Builds
Person-centered care management services and operational excellence for specific member populations.
Domain
Healthcare / Behavioral Health / Foster Care & Juvenile Justice
Required skills
Clinical licensure (RN/LPCC/LCSW), Team management, Performance management, Foster care & Juvenile Justice system knowledge, Behavioral health services expertise, Data-driven operational improvement, Stakeholder collaboration
Preferred skills
Change management, Advanced problem-solving, Strategic relationship building
Technologies
Data analytics tools, Performance metric systems
Responsibilities
Lead remote and field-based staff to achieve health plan goals, Ensure members receive appropriate care through provider collaboration, Monitor quality and compliance metrics, Communicate team performance to leadership.
Seniority
Senior, hands-on IC with people leadership