Aetna Telephonic Case Manager Registered Nurse (RN) in High Point, North Carolina
Req ID: 68521BR
Are you ready to expand your nursing skills, while aiding in the reduction of hospital readmissions and helping patients get back to their daily life faster? How about dipping your toes into population health nursing and impacting the lives of patients and their families, with no limitation on how long it may take to help that member meet their desired health goals?
We are looking for full-time RNs to join our team, in the role of Telephonic Case Manager. RN Case Managers will guide members telephonically in defining their health goals and taking appropriate steps to achieve their optimal state of wellness.
Fundamental Components included but are not limited to:
All activities completed telephonically with the member
-Case Manager will work with members currently in an acute illness, such as a hospitalization to facilitate discharge to the next appropriate level of care while addressing any chronic conditions.
-Alternatively, Case Managers will work with members at-risk for experiencing . Goals for this type of member focuses on ensuring our members are referred to the appropriate providers to ensure conditions are
actively being treated.
-Case Manager will assess the medical, psychosocial and social determinants of health for the member, as well as their family and caregiver.
-Working with the member, the CM will assist the member in developing appropriate and realistic health goals, including activities
-Case Managers have multiple resources to utilize to assist in meeting the goals, such as Registered Dietitians, Social Workers, Medical Directors, Pharmacists and more.
-Position is 100% office based and the position utilizes the telephone and computer almost exclusively. Typing is a necessary skill.
-The hours are Monday – Friday (no weekends).
- The office is located at 4050 Piedmont Parkway, High Point, NC. Position is within commutable distance to High Point, Greensboro, Winston-Salem and Burlington!
Qualifications Requirements and Preferences:
Must have an active and unrestricted RN license
Minimum of 2 years of clinical experience as an RN
All clinical experience will be considered, such as Emergency Department, Home Health, Hospice, Operating Room, ICU, NICU, Telemetry, Medical / Surgical, Orthopedics, Long Term Care and Infusion nursing.
Strong telephonic communication skills
Multiple State RN licensure is preferred, but not required. Chosen must be able to obtain multiple state RN licensure after hire (expenses paid for by company)
Nursing - Registered Nurse (RN)
Additional Job Information:
Typical office working environment with productivity and quality expectationsWork requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer.Ability to multitask, prioritize and effectively adapt to a fast paced changing environmentPosition requires proficiency with computer skills which includes navigating multiple systems and keyboardingEffective communication skills, both verbal and written.
Benefit eligibility may vary by position.
Job Function: Healthcare
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.