Aetna Consulting Case Manager (RN) Registered Nurse in New York, New York

Req ID: 53512BR

POSITION SUMMARY

The Onsite Nurse Advocate will engage, educate, promote and influence members to enable decisions related to achieving and maintaining optimal health status. She/he will work with members, the HR Benefits team and the Account team on ways to deliver the best member experience and optimize the benefits offered through the employee benefits plan.

Fundamental Components but not limited to the following responsibilities:

The Client is committed to improving the wellness of its employees. Location has onsite job fairs that offer biometric screenings, registered nutritionists and many other opportunities to partner on employee wellbeing. In addition, the client has engaged external vendors, including EAP to assist employees.

Client is based in New York, New York with travel to the Bronx, Brooklyn, Manhattan, Queens and Staten Island.

The Onsite Nurse Advocate will:

Work with members to help understand their benefits and connect them to the appropriate resources available to them through a collaborative process of assessment, planning, facilitation, advocacy and communication.

Assist members in identifying modifiable risk factors and referring and leveraging the coaching resources provided by employer to coach on lifestyle change, including weight management, quitting tobacco, stress reduction, nutrition and increasing physical activity.

Assess, coach and refer members with chronic health conditions to an Aetna Disease Manager. Develop and implement goals with members to maintain optimum level of health.

Establish a plan of care based on members health status, and educational and support needs.

Identify co-morbid conditions, hospitalizations, prescriptions, and other factors that could impact the coaching and support needs of the member outside the scope of the health coaching.

Facilitate group coaching and health education sessions at various sites.

Support clinical integration and collaboration on members care plan in conjunction with multiple health professionals.

Refer members to appropriate resources and/or programs when indicated.

Work with health plan clinical or customer service resources to coordinate benefits and available resources/programs.

Work with HR Benefits team, Aetna Account Management team to identify trends and gaps in the employee benefits plan. through their interactions with employees.

In addition to providing face-to-face coaching, the Onsite Nurse Advocate seeks to engage employees at the designated location through:

Group coaching sessions

BACKGROUND/EXPERIENCE:

5-10 years clinical RN practice experience required.

3-5 years case management experience required (may overlap).

Experience in consultation preferred.

EDUCATION

The minimum level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.

LICENSES AND CERTIFICATIONS

Nursing/Certified Case Manager is desired

Nursing/Registered Nurse (RN) is required

FUNCTIONAL EXPERIENCES

Functional - Nursing/Discharge Planning/7-10 Years

Functional - Nursing/Medical-Surgical Care/7-10 Years

Functional - Nursing/Case Management/7-10 Years

TECHNOLOGY EXPERIENCES

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

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

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

Technical - Development Tools///

Telework Specifications:

Flexible telework / office-based schedule (must live near NYC location)

with on-site travel to as required to the Bronx, Brooklyn, Manhattan, Queens and Staten Island.

At this point in time, no weekends or holidays. Standard business hours, but may need to have flexible schedule.

ADDITIONAL JOB INFORMATION

High initiative, challenging position that utilizes critical thinking and effective communication skills working directly with members.

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'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