Utilization Management Manager (RN) – Remote 1x/Week

Aetna; Richmond (VA); Hybrid; USD 85,000 - 110,000; Full time

Benefits offered by this job

401k

Tuition reimbursement

Licensure and certification reimbursement

Job summary

Aetna in Richmond, Virginia is seeking a Manager of Utilization Management to oversee clinical programs and improve healthcare standards. This key role requires strong leadership to manage teams and ensure effective healthcare delivery.

The ideal candidate will have a Bachelor’s degree, a valid RN license in Virginia, and a minimum of 5 years of clinical experience. The position offers growth opportunities within a Fortune 500 company, with telework options post-training.

Qualifications

• 5 years in clinical area of expertise.
• 1+ year previous leadership experience managing onsite and remote staff.
• Nursing/Registered Nurse (RN) license active in Virginia.

Responsibilities

• Reinforces clinical philosophy, programs, policies and procedures.
• Communicates strategic plan and ensures tactical implementation.
• Identifies opportunities for best practices and innovations.
• Manages financial, operational, and quality objectives.

Skills

Leadership

Clinical expertise

Data analysis

Communication

Change management

Education

Bachelor's degree or equivalent experience

Job description

Aetna in Richmond, Virginia is seeking a Manager of Utilization Management to oversee clinical programs and improve healthcare standards. This key role requires strong leadership to manage teams and ensure effective healthcare delivery.

The ideal candidate will have a Bachelor’s degree, a valid RN license in Virginia, and a minimum of 5 years of clinical experience. The position offers growth opportunities within a Fortune 500 company, with telework options post-training.