Aetna Field Case Mgr-Medical in Midland, Michigan
Req ID: 52618BR
Candidates must live near Midland, Michigan.
The RN 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 needs through communication and available resources to promote optimal, cost-effective outcomes. The RN case manager will work closely with MidMichigan Health System to focus on population health management of Aetna members attributed to the physician groups. .
The RN case manager will identify potential barriers to care and develop an individualized care management plan using a holistic approach to assist members with achieving their identified health goals. Utilizing data to assist in identifying trends or issues with a focus on STARS measures within the physician group such as readmission risk, diabetes treatment adherence. Interacts with members in-person, in their home or at an agreed upon community location such as a library. Have ability to travel within a designated geographic area for in-person care management activities.
5+ years clinical practice experience required
3+ years case management experience required
RN licensure in MI (unrestricted) required
Ability to travel within a designated geographic area for in-person case management activities
Excellent analytical and problem solving skills
Effective communications, organizational, and interpersonal skills.
Ability to work independently.
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
The minimum level of education required for candidates in this position is a Bachelor's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Nursing/Registered Nurse is required
Nursing/Certified Case Manager (CCM) is desired
Functional - Nursing/Case Management/1+ Years
Functional - Nursing/Discharge Planning/1+ Years
Functional - Nursing/Home Health Care Ambulatory Nursing/1+ Years
Technical - Desktop Tools/Microsoft Outlook/1+ Years/End User
Technical - Desktop Tools/Microsoft Word/1+ Years/End User
Technical - Desktop Tools/Microsoft PowerPoint/1+ Years/End User
ADDITIONAL JOB INFORMATION
This position will be office based within MidMichigan Health System. A unique opportunity to work collaboratively with our physician partners. Time management and organizational skills along with the ability to manage changing priorities are key to this position. Strong verbal and written communication skills plus proficiency with computers, navigating in multiple systems and web-based applications use of mouse and solid keyboarding skills.
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.