Aetna RN- Spanish Speaking- Field Case Manager- Registered Nurse in San Diego, California

Req ID: 44259BR

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

POSITION SUMMARY

This is a full time Work-At-Home opportunity with 75% local daily travel in the field. Candidates should reside in the San Diego, CA area. You will be on the road 75% of your week! This does provide some flexibility! This role does require bi-lingual Spanish skills!

This role as a Field Case manager is a high initiative, challenging position that utilizes critical thinking and effective communication skills while working with injured workers, employers, claims examiners, attorneys, and treatment providers to improve patient outcomes. You will evaluate injured workers' medical and vocational needs to develop a specialized plan of care that promotes successful return to work while assisting in the coordination of therapeutic services. You will monitor injured workers' progress toward desired outcomes in a variety of environments, including the home, work site, and physician office settings. This is an opportunity to make a positive impact in the life of an injured worker.

You will be responsible for assessing and analyzing an injured employee to evaluate the medical and vocational needs required to facilitate the patients appropriate and timely return to work. You have the opportunity to Act as a liaison with patient/family, employer, provider(s), insurance companies, and healthcare personnel.

Fundamental Components

Assesses and analyzes an injured employees medical and vocational status; develops a plan of care to facilitate the patients appropriate and timely return to work. Interviews patients in their homes, work-sites, or physicians office to provide ongoing case management services. Monitors patient progress toward desired outcomes through assessment and evaluation. Communicates both in-person and telephonically with patient, medical providers, attorneys, employers and insurance carriers; prepares all required documentation of case work activities. May arrange referrals, consultations and therapeutic services for patients; confers with specialists concerning course of care and treatment. Develops and administers educational and prevention programs. Applies all laws and regulations that apply to the provision of rehabilitation services; applies all special instructions required by individual insurance carriers and referral sources. Testifies as required to substantiate any relevant case work or reports. Daily travel in the field.

BACKGROUND/EXPERIENCE

Registered Nurse (RN) with active state license in good standing in the state where job duties are performed. Minimum 1-2 years clinical nursing background Prior case management and workers' compensation experience preferred Ability to multitask in a fast paced work environment Strong computer skills with experience in Microsoft Office Products Excellent communication skillsSpanish Bi-lingual skills are a requirement

EDUCATION

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

Nursing/Certified Case Manager (CCM) is desired

FUNCTIONAL EXPERIENCES

Functional - Nursing/Case Management/1-3 Years

Functional - Nursing/Medical-Surgical Care/1-3 Years

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: Health Care