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Coding Appeals Nurse Associate - LPN/LVN (JC149234422)
Last Updated: 2019-10-21
Employer: Aetna
Location: Wilmington, DE

Req ID: 64981BR

Job Description

Responsible for the review and resolution of clinical complaints and appeals. Interprets data obtained from clinical records to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and provider issues. Independently coordinates the clinical resolution with internal/external clinician support…

Clinical Learning Leader (JC149431765)
Last Updated: 2019-10-21
Employer: Aetna
Location: Wilmington, DE

Req ID: 65207BR

Job Description

This is a unique opportunity for a clinical educator to craft meaningful clinical professional development for Aetna clinicians within their work setting. This position will lead a team to develop an effective Clinical Education Program that addresses the needs of individual clinicians and the populations…

Supervisor, Clinical Health Service (JC149664240)
Last Updated: 2019-10-21
Employer: Aetna
Location: Wilmington, DE

Req ID: 65277BR

Job Description

The Supervisor is responsible for oversight of healthcare management staff including the organization and development of high performing teams. Works closely with functional area managers to ensure consistency in clinical interventions supporting our members. Accountable for meeting the financial, operational and quality objectives of the…

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