Aetna Jobs

Req ID: 49526BR

JOIN OUR GROWING TEAMDo you want to make a difference as a Field Case Manager in your local community?Let us show you how you can expand your professional experience as a CCM, CRRN, COHN, and CDMS. We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Registered Nurses to join our Workers Compensation Field Case Management team. This opportunity offers a competitive salary, full benefits, and a performance-based bonus paid out on a monthly or quarterly basis. Our organization promotes autonomy through a Monday-Friday working schedule, paid holidays, and flexibility as you coordinate the care of your members.

POSITION SUMMARY

Coventry Workers Compensation Services offers workers comp cost and care management solutions for employers, insurance carriers, and third-party administrators. With roots in both clinical and network services, Coventry leverages more than 30 years of industry knowledge and experience. In 2013, Coventry became a part of Aetna, joining together with common values and a common mission: empowering people to live healthier lives.

Fundamental Components but not limited to the following:

The Workers Compensation Field Case Manager is responsible for assessing and analyzing injured employees to evaluate their medical and vocational needs. The Workers' Comp Field Case Manager must facilitate the patients appropriate and timely return to work, acting as a liaison between the patient/family, employer, providers, insurance carrier, and other healthcare personnel. This is a field-based position in Tifton, GA, and surrounding areas with expected travel of 75-100%. Travel is locally-based, and no overnight travel will be required. When not traveling, the candidate will be working from home. 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. Daily travel in the field up to 100 mile radius from your residence. This position requires one of the following national certifications: CCM, COHN, COHN-S, CRRN, CDMS and GA Rehab Supplier.

BACKGROUND/EXPERIENCE:

Minimum of three years case management experience required

One of the following certifications: CCM, COHN, CDMS, CRRN or GA Rehab Supplier required

3-5 years clinical RN practice experience required

Ability to travel within a designated geographic area for in-person case management activities

Bilingual preferred

Knowledge of laws and regulations governing delivery of rehabilitation services.

Job-specific technical knowledge, (e.g., knowledge of workers compensation and disability industry for workers compensation case managers or case management).

Excellent analytical and problem solving skills

Effective communications, organizational, and interpersonal skills.

Ability to work independently (may require working from home).

Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications.

Effective computer skills including navigating multiple systems and keyboarding

EDUCATION

The minimum level of education desired for candidates in this position is a Associate's degree.

LICENSES AND CERTIFICATIONS

Nursing/ Registered Nurse is required

Most have a valid GA and FL RN License and one of the following certifications: CCM, COHN, COHN-S, CRRN or CDMS

Nursing/Certified Occupational Health Nurse is desired

Nursing/Certified Case Manager (CCM) is desired

Nursing/Certified Disability Management Specialist (CDMS) is desired

FUNCTIONAL EXPERIENCES

Functional - Nursing/Case Management/1-3 Years

TECHNOLOGY EXPERIENCES

Technical - Desktop Tools/Microsoft Outlook/4-6 Years/End User

ADDITIONAL JOB INFORMATION

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.

All major holidays are paid time off, vacation and sick time off is accrued. Full benefits offered including 401(k) and many corporate discounts available. Employees are reimbursed for fees to maintain licensure as well as free CEU s to maintain licensure. Continuing Education credits are available/provided for RN and a various industry certifications too. Work from home with in-state travel. In addition to annual salary, position has potential for a monthly monetary bonus. All employees are expected to embody our values of Excellence, Integrity, Caring and Inspiration in all that they do as an employee. The overall responsibility of the Field Case Manager is to ensure the injured worker receives the best possible care in a timely and efficient manner towards full rehabilitation and return to work. Please note that we do offer mileage reimbursement for local travel. As a Workers Compensation Field Case Manager, you will be offered:AutonomyProductivity incentivesMonday-Friday scheduleReimbursement for mileage, tolls, parking, licensure and certification· Laptop, iPhone & printer/fax/scanner all in one.

Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

All employees are expected to embody our values of Excellence, Integrity, Caring and Inspiration in all that they do as an employee. The overall responsibility of the Field Case Manager is to ensure the injured worker receives the best possible care in a timely and efficient manner towards full rehabilitation and return to work.

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Job Function: Health Care