Aetna Case Manager (RN) in Blue Bell, Pennsylvania
Req ID: 56430BR
Applicants external to Aetna will be required to be office based in either Blue Bell, PA or Newark, DE.
Current Aetna employees that are office based will remain in their office. Those that are currently set up to work from home will remain working from home.
Our department is fast paced unit and we have the ability to frequently change direction to focus on the needs of the unit. Our primary mission is focused on Healthy Outcomes for our members, Medicare STARS measures and closing those gaps.
Fundamental components include but are not limited to:
The telephonic case manager functions as a nurse educator role with our Medicare members. They must be able to engage our members to promote healthy lifestyles. This is a rewarding, exciting and fast-paced environment.
An RN license is required preferably in a compact state
5+ years clinical practice experience required
Case Management Experience preferred
Geriatric experience preferred
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 is required
Functional - Nursing/Case Management/1+ Years
Technical - Desktop Tools/Microsoft Outlook/1+ Years/End User
Technical - Desktop Tools/Microsoft Word/1+ Years/End User
Benefits Management/Maximizing Healthcare Quality/FOUNDATION
Benefits Management/Understanding Clinical Impacts/FOUNDATION
General Business/Turning Data into Information/FOUNDATION
ADDITIONAL JOB INFORMATION
The Case Manager utilizes a collaborative process of assessment, planning, implementation and evaluation, to engage, educate, and promote/influence members decisions related to achieving and maintaining optimal health status. Requires an RN with unrestricted active license. Responsibilities include but are not limited to: member outreach for support and education, provider outreach for education and data gathering, member referrals to and collaboration with other Aetna teams for case management, social service needs and provider collaboration nurse involvement. This position is within the Aetna Medicare STARS Engagement team.
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's 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.
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.