Aetna Field Case Manager (RN)- Registered Nurse in Phoenix, Arizona
Req ID: 43615BR
The Registered Nurse (RN) Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individuals benefit plan and /or health needs through communication and available resources to promote optimal, cost-effective outcomes.
Fundamental Components of the Case Manager role include, but are not limited to:
The RN case manager will identify potential barriers to care and develop an individualized care management plan using a holistic approach to assist members with achieving their identified health goals. Utilizing data to assist in identifying trends or issues with a focus on STARS measures, readmission risk and end of life issues. Acts as a liaison with patient/family, employer, provider(s), insurance companies, and healthcare personnel. Interviews employee's in their homes, work-sites or physician offices to provide ongoing case management services. Evaluates employee progress toward desired outcomes through assessment and evaluation. Communicates both in person and telephonically with employee, medical providers, attorneys, employers and insurance carriers. Prepares all required documentation of case work activities. Coordinates referrals to specialists and alternate treatment provides as appropriate. Registered nurse with current state RN license. Strong problem solving and analytical skills. Demonstrated computer skills and use of smartphone. Regular local travel required, requires own car and valid drivers license. Strong communication, organizational and interpersonal skills. CCM preferred. Previous case management or home care experience preferred.
Minimum of three years case management experience
5 years clinical practice experience
Ability to travel within a designated geographic area for in-person case management activities
The minimum level of education desired for candidates in this position is a Associate's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Nursing/Registered Nurse (RN) is required
Nursing/Certified Case Manager (CCM) is preferred
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ADDITIONAL JOB INFORMATION
Time management and organizational skills along with the ability to mange changing priorities are key to this position. Strong verbal and written communication skills plus proficiency with computers, navigating in multiple systems and web-based applications use of mouse and solid keyboarding 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. Clickhereto review the benefits associated with this position.
Job Function: Health Care