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Clinical Director TRICARE

Aetna-Hampton, VA, 23669, USA

Job Overview Company: Aetna Location: US-VA-Hampton Loading Map... Base Pay: $94,500 - $123,700 /Year Other Pay: Employee Type: Full-Time Industry: Healthcare - Health Services Insurance Managed Care Manages Others: Yes Job Type: Health Care Insurance Nurse Req'd Education: 4 Year Degree Req'd Experience: At least 5 year(s) Req'd Travel: Up to 25% Relocation Covered: No Reference ID: 27745013_301151222 Contact: Not Available Phone: Not Available Email: Send Email Now Fax: Not Available company overview Aetnais one of the nation’s leading diversified health care benefits companies, serving m...
 

Clinical Director Jobs in Hampton, Virginia Jobs

Aetna | Hampton, VA, 23605 | 7
ABOUT OUR COMPANY We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard. JOB GROUP SUMMARY Develop, implement, support, and promote Health Services strategies, tactics, policies, and programs that drive the delivery of quality healthcare in a cost effective manner for Aetna Government Health Plans in compliance with Government contracts including TRICARE Managed Care Support Contract. Health Services strategies, policies, and programs are comprised of utilization management, quality management, net...
 
 

Aetna Jobs

Aetna | Hartford, CT, 06156 | 2-4
ABOUT OUR COMPANY We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard. JOB GROUP SUMMARY The dedication of talented and caring health care professionals drives the delivery of high quality, cost effective products and services. They make it possible for members to get the right health care treatment for their needs and for Aetna to keep its competitive edge. This position can be based out of any Aetna location on the East Coast. POSITION SUMMARY: The Operational Reporting and Analysis team within...
Aetna | Newark, DE, 19702 |
ABOUT OUR COMPANY We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard. -Consult with Medical Directors on cases that don t meet coverage policy bulletin or clinical criteria guidelines - Interpersonal Communication - Present cases at Medical Director rounds and case conferences - Review and evaluate clinical history to identify needed medical services - Assess members clinical care needs - Identify, coordinate and monitor discharge plans - Microsoft Word - Microsoft Excel - Revise and coordinate ...
 
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