Aetna UM Nurse Consultant - RN - OH Job fair 1/24 & 1/26 - details in posting! in Richfield, Ohio
Req ID: 37431BR
01/24/1701/26/17Hilton Columbus at Easton10:00 a.m. to 6:00 p.m.Baymont Inn & Suites10:00 a.m. to 6:00 p.m.3900 Chagrin Drive, Columbus OH 43219130 Montrose West Ave Copley, OH 44321
Facilitate the delivery of appropriate benefits and/or healthcare information.
Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care
Managed Care experience preferred
3-5 years of clinical experience required
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) is required
Functional - Nursing/Medical-Surgical Care/1-3 Years
Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User
Technical - Desktop Tools/Microsoft Word/1-3 Years/End User
No telework opportunity request
ADDITIONAL JOB INFORMATION
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