Aetna Case Manager in Blue Bell, Pennsylvania
Req ID: 46122BR
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:
Assess the member and family
Plan for their needs
Facilitate their care coordination
Advocate for options and services
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
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 - 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
Technical - Desktop Tools/Microsoft Outlook/4-6 Years/End User
Technical - Desktop Tools/Microsoft Word/4-6 Years/End User
Benefits Management/Maximizing Healthcare Quality/FOUNDATION
General Business/Applying Reasoned Judgment/ADVANCED
Benefits Management/Supporting Medical Practice/FOUNDATION
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