Aetna Field Case Mgr-Medical in Richmond, Virginia

Req ID: 37451BR

This role requires 75-100% of travel around Roanoke, VA.

POSITION SUMMARY

Position to provide field case management services in the Roanoke/Lynchburg/South Boston VA areas for injured workers, with goal of timely return to work. Includes meeting one on one with injured workers, employers, physicians, and other providers. Must have excellent verbal and written communication skills, critical thinking skills and very familiar with Microsoft products.

Fundamental Components:

Must be licensed Virginia RN in good standing with unrestricted drivers license and reliable means of transportation. Responsible for assessing and analyzing an injured worker to evaluate the medical and vocational needs required to facilitate appropriate and timely return to work. Acts as a liaison with injured worker/family, employer, provider(s), insurance company and attorney. Interviews injured worker in their home, work-sites or physician office to provide ongoing case management services. Communicates both in person and telephonically with all parties. Prepares all documentation of case work activities in a timely manner. Must be flexible, able to multi-task and be well organized.

BACKGROUND/EXPERIENCE desired:

Current unrestricted Virginia RN license. CCM preferred. Workers compensation knowledge a bonus. Experienced and very comfortable working with WORD documents, EXCEL and Outlook. Home health care experience a plus.

EDUCATION

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 desired

Nursing/Certified Case Manager (CCM) is desired

FUNCTIONAL EXPERIENCES

Functional - Nursing/Medical-Surgical Care/1+ Years

TECHNOLOGY EXPERIENCES

Technical - Desktop Tools/Microsoft Outlook/1+ Years/End User

Technical - Desktop Tools/Microsoft Word/1+ Years/End User

Telework Specifications:

Telework is a requirement for this position (no physical office location). Classification is Mobile-daily travel required. Travel area includes Lynchburg, Salem, Roanoke, South Boston areas.

ADDITIONAL JOB INFORMATION

Flexible and varied working schedule. Daily driving required. Work from home. Bonus potential.

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.

Job Function: Health Care