Aetna Consulting Case Manager in Brooklyn, New York
Req ID: 38155BR
The Onsite Nurse Advocate will engage, educate, promote and influence members to enable decisions related to achieving and maintaining optimal health status. Will work with members, the HR Benefits team and the carrier on ways to deliver the best member experience and optimize the benefits offered through the employee benefits plan.
The Onsite Nurse Advocate will:
Work with members to help understand their benefits and connect them to the appropriate resources available to them through a collaborative process of assessment, planning, facilitation, advocacy and communication.
Assist members in identifying modifiable risk factors and referring and leveraging the coaching resources provided by employer to coach on lifestyle change, including weight management, quitting tobacco, stress reduction, nutrition and increasing physical activity.
Assess, coach and referral of members with chronic health conditions to an Aetna Case Manager. Develop and implement goals with members to maintain optimum level of health.
Establish a plan of care based on members health status, and educational and support needs
Identify co-morbid conditions, hospitalizations, prescriptions, and other factors that could impact the coaching and support needs of the member outside the scope of the health coaching
Facilitate group coaching and health education sessions
Support clinical integration and collaboration on members care plan in conjunction with multiple health professionals
Refer members to appropriate resources and/or programs when indicated
Work with health plan clinical or customer service resources to coordinate benefits and available resources/programs
Work with HR Benefits team, Aetna account management team and clinical program consultant to identify trends and gaps in the employee benefits plan through their interactions with employees.
-Registered Nurse with an active license and minimum 3-5 years clinical experience
-Knowledge of New York Metropolitan Area/5 Boroughs of New York City/Staten Island area participating provider community and hospitals to assist in facilitating referrals.
-Public speaking, computer skills including Microsoft PowerPoint, Outlook and Word, strong interpersonal skills
-Spanish speaking preferred
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Nursing/Registered Nurse in NY is required
Health and Fitness/Wellness Coach is desired
Nursing/Certified Case Manager (CCM) is desired
Functional - Nursing/Case Management/1-3 Years
Functional - Medical Management/Medical Management - Educator (includes in-service/1-3 Years
Functional - Communications/Communication Delivery - Public Speaking/1-3 Years
Technical - Desktop Tools/Microsoft Word/1-3 Years/End User
Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User
Technical - Desktop Tools/Microsoft PowerPoint/1-3 Years/End User
Flexible telework / office-based schedule (must live near certain office location)
Full-time position primarily WAH with approximately 1 day/week at Brooklyn customer on-site, other travel as required
ADDITIONAL JOB INFORMATION
We value leadership, creativity and initiative. If you share those values and a commitment to excellence and innovation, consider a career with our company.
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.
Job Function: Health Care