Aetna RN- TELEPHONIC CASE MANAGEMENT (Registered Nurse) CA License in Orange, California
Req ID: 46307BR
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. Come join us!
The Workers Comp Telephonic Case Manager works with the employees, providers, employers, claims examiners and vendors to coordinate medical care and facilitate the timely return to work with an injured worker. You will telephonically manage cases for injured workers, making sure they attend appointments, following up on resources needed and documenting. You will make a direct impact on the members!
There is a heavy need in California, CA license is required and knowledge of CA! (May not have to live in CA)
Daily calls with the members, providers, claim examiners and any other resource needed. Documenting and keeping records for billing purposes and compliance. Working with MS Office and multiple systems daily. Organizing your workload and day, depending on needsTalking with the members and providers while you are documenting at the same time
Registered Nurse (RN) with active state license active CA license.Minimum of 3 years clinical practice experience highly desired.Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) would be preferred. Previous workers comp, case management, UR experience is preferred. Strong analytical skills
Strong computer skills including MS Office, Windows knowledge, strong keyboarding skills and ability to work in multiple systems at one time.
The highest level of education desired for candidates in this position is a Associate's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Nursing/Registered Nurse (RN)
CCM, COHN, CDMS and CCRN highly preferred!
Functional - Nursing/Case Management/1-3 Years
Full Time work at home position, any compact state, CA licensure needed.
ADDITIONAL JOB INFORMATION
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.
Job Function: Workers' Compensation