Aetna Case Manager in Blue Bell, Pennsylvania

Req ID: 46122BR

POSITION SUMMARY

The RN Case Management utilizes their skills to collaborative assess, plan, facilitate care coordination, and advocate for options and services to meet an individuals and familys comprehensive health needs through communication and available resources to promote quality, cost-effective outcomes.

Hours: Monday-Friday 9-5:30pm; 1 afternoon 12:30pm-9pm. This role could be Monday-Friday 12:30pm -9pm also. No weekends & holidays off. Must work on site and no telework.

Fundamental Components but not limited to:

The RN Case Management will:

  1. Assess the member and family

  2. Plan for their needs

  3. Facilitate their care coordination

  4. Advocate for options and services

    BACKGROUND/EXPERIENCE desired:

    3-5 years clinical (med surg, ICU, telemetry) hospital practice experience

    Multiple State license will be required to be obtained upon employment

    Bilingual a plus

    HHC or Case Management experience preferred

    EDUCATION

    The minimum level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.

    LICENSES AND CERTIFICATIONS

    Nursing/Registered Nurse is required

    Nursing/Certified Case Manager (CCM) is desired

    FUNCTIONAL EXPERIENCES

    Functional - Nursing/Medical-Surgical Care/4-6 Years

    Functional - Nursing/Case Management/1-3 Years

    Functional - Nursing/Discharge Planning/1-3 Years

    Functional - Nursing/Home Health Care Ambulatory Nursing/1-3 Years

    TECHNOLOGY EXPERIENCES

    Technical - Desktop Tools/Microsoft Outlook/4-6 Years/End User

    Technical - Desktop Tools/Microsoft Word/4-6 Years/End User

    REQUIRED SKILLS

    Benefits Management/Maximizing Healthcare Quality/FOUNDATION

    General Business/Applying Reasoned Judgment/ADVANCED

    Benefits Management/Supporting Medical Practice/FOUNDATION

    DESIRED SKILLS

    Benefits Management/Understanding Clinical Impacts/FOUNDATION

    ADDITIONAL JOB INFORMATION

    Position has been approved - replacement position - RN (preferred) with 3-5 years experience in a clinical setting with sound clinical assessment skills

    Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

    We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

    Together we will empower people to live healthier lives.

    Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

    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.

    Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

    Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Job Function: Health Care