Aetna UM Nurse Associate in Orlando, Florida

Req ID: 51741BR

Telework Opportunity!!

POSITION SUMMARY

The Specialty Health Care Management (SHCM) program is managed by a team who reach out to patients filling medications at Aetna Specialty Pharmacy who are newly diagnosed with chronic diseases, are new to a drug/treatment, new to Aetna or have an issue with adherence/compliance to their specialty medications. Requires LPN with unrestricted active license.

Fundamental Components:

Nurse will outreach to patients to offer the program and complete telephone assessments for patients who agree to speak to a nurse. The nurses provide drug and disease education, copay assistance coordination, referral services, side effect management and adherence monitoring. Nurse will also outreach to patients who are non-compliant with medication therapy and address barriers to adherence. This position requires nursing skills and clinical judgment.

BACKGROUND/EXPERIENCE:

2 years managed care experience .

2 plus years clinical experience required

EDUCATION

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

LICENSES AND CERTIFICATIONS

Nursing/Licensed Practical Nurse (LPN) is required

FUNCTIONAL EXPERIENCES

Functional - Nursing/Disease management/1-3 Years

Functional - Nursing/Drug Information & Safety/1-3 Years

Functional - Communications/Member communications/1-3 Years

TECHNOLOGY EXPERIENCES

Technical - Desktop Tools/Microsoft Outlook/1-3 Years/

REQUIRED SKILLS

General Business/Turning Data into Information/FOUNDATION

Technology/Leveraging Technology/FOUNDATION

PREFERRED SKILLS

General Business/Applying Reasoned Judgment/FOUNDATION

Leadership/Collaborating for Results/FOUNDATION

Telework Specifications:

Considered for any US location; training period in the office may be required

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.

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

Aetna takes our candidate'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.

Offers to all candidates are contingent upon a background investigation - no individual with a felony drug conviction may be hired at this facility.

Job Function: Health Care