Aetna Case Manager RN - 57319BR in Blue Bell, Pennsylvania

Req ID: 57319BR

This is an in-office position in Blue Bell, PA.

POSITION SUMMARY

This Registered Nurse Case Manager position is an exciting opportunity to join a growing Aetna Custom Care Team located in our Blue Bell, PA office. Internal candidates who are currently telework may only be considered for telework if within driving distance to the Blue Bell office. You'll have the opportunity to work in an exciting, fast pace atmosphere and administer a high touch integrated model for a dedicated customer.

Fundamental Components:

The 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 care needs through communication and available resources to promote optimal, cost-effective outcomes.

The CM process includes: assessing the member's health status and care coordination needs, inpatient review and discharge planning, developing and implementing the case management plan, ongoing evaluation of the case plan with Medical Director as indicated, exceptional disease education skills and case closure when closure criteria achieved.

BACKGROUND/EXPERIENCE:

  • 3+ years clinical practice experience; Required

  • Med/Surg experience; Preferred

  • Bilingual Fluency; Preferred

  • Case Management in an integrated model; Preferred

EDUCATION

The minimum level of education required for candidates in this position is an Associate's degree. Bachelor's Degree preferred.

LICENSES AND CERTIFICATIONS

Active, Unrestricted Registered Nurse (RN) License in PA is Required

FUNCTIONAL EXPERIENCES

Functional - Nursing/Disease management/4-6 Years

Functional - Nursing/Case Management/1-3 Years

Functional - Nursing/Medical-Surgical Care/4-6 Years

TECHNOLOGY EXPERIENCES

Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User

Technical - Desktop Tools/Microsoft Word/1-3 Years/End User

Technical - Desktop Tools/TE Microsoft Excel/1-3 Years/End User

REQUIRED SKILLS

Benefits Management/Maximizing Healthcare Quality/FOUNDATION

Benefits Management/Understanding Clinical Impacts/FOUNDATION

Benefits Management/Supporting Medical Practice/FOUNDATION

DESIRED SKILLS

General Business/Turning Data into Information/FOUNDATION

Leadership/Driving a Culture of Compliance/FOUNDATION

General Business/Applying Reasoned Judgment/ADVANCED

ADDITIONAL JOB INFORMATION

We value leadership, creativity and initiative. If you share those values and a commitment to excellence and innovation, consider a career with our company. 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.

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.

Aetna takes our candidates' data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

LI-TS1

Job Function: Health Care

Aetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.