Legal Nurse Consultant at Aetna in Newark, Delaware

June 27, 2010 by nurse
Filed under: Delaware 

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
Continuous quality improvement is more than a buzzword it’s how we meet customer needs and control costs. Through Quality Management professionals, we put industry-leading practices and principles to work in support of our quality objectives.

POSITION SUMMARY
Participates in the development and ongoing implementation of QM Work Plan activities. Improve quality products and services, by using measurement and analysis to process, evaluate and make recommendations to meet QM objectives. Use HEDIS database to run abstraction process and provider profiling. Work cross functionally to drive quality improvement and to engage provider network and DPCI employees in HEDIS process. Must be able to work independently and as the leader of a team to manage and complete a time sensitive annual project, maintaining budget and quality focus.

EDUCATION
The highest level of education desired for candidates in this position is a Associate’s degree or equivalent experience.

LICENSES AND CERTIFICATIONS

  • Registered Nurse (RN) is required
  • Certified Professional in HealthCare Quality is desired
  • Registered Nurse (Certified) RNC is desired
  • Certified Legal Nurse Consultant is desired

    FUNCTIONAL WORK EXPERIENCE

  • General Management: Process & quality improvement
  • Management: Management – Process and quality improvement
  • Medical Management: Medical Management – Quality Management
  • Nursing: Quality Management
  • Quality Management: Quality Management

    REQUIRED SKILLS

  • Collaborating for Results
  • Driving Change
  • Driving a Culture of Compliance
  • Turning Data into Information
  • Maximizing Healthcare Quality
  • Maximizing Work Practices

    DESIRED SKILLS

  • Anticipating and Innovating
  • Applying Reasoned Judgment
  • Creating Accountability
  • Leveraging Technology
  • Promoting Health Information Technology
  • Demonstrating Business and Industry Acumen

    ADDITIONAL JOB INFORMATION
    This position enables the selected candidate to learn and possibly grow into a management position. Must be able to work with Manager of Quality Department to learn job functions quickly and accurately. Ability to assist in hiring, training and management of contingent staff a must. Time management skills essential and flexibility key.

    Please note that benefit eligibility may vary by position. Click here to review the benefits associated with this position.

    Aetna does not permit the use of tobacco related products or drugs in the workplace.

    We value leadership, creativity and initiative.  If you share those values and a commitment to excellence and innovation, consider a career with Aetna.

    We conduct pre-employment drug and background testing. 
    Aetna does not permit the use of tobacco related products or drugs in the workplace. No agencies, please.

    Aetna is an Equal Opportunity/Affirmative Action Employer. M/F/D/V

    Aetna is committed to maintaining an environment in which all employees are treated equitably and given the opportunity within the context of the business to achieve their potential. Aetna’s Affirmative Action responsibilities extend to women, minorities, persons with disabilities and veterans. Company policy also provides for equal opportunity for qualified individuals regardless of race, color, sex, national origin, religion, age, disability, veteran status, sexual orientation, gender identity or marital status.

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