Aetna Workers Compensation RN Field Case Manager Registered Nurse CCM COHN CDMS CRRN Orlando area in Orlando, Florida
Req ID: 57382BR
JOIN OUR GROWING TEAM
Orlando to Atlantic Coast area
Do you want to make a differenceas a Field Case Manager in your local community?
Let us show you how you canexpand your professional experience as a CCM, CRRN, COHN, and CDMS.
We are seeking self-motivated,energetic, detail oriented, highly organized, tech-savvy Registered Nurses tojoin our Workers Compensation Field Case Management team. This opportunityoffers a competitive salary, full benefits, and a performance-based bonus paidout on a monthly or quarterly basis. Our organization promotes autonomy througha Monday-Friday working schedule, paid holidays, and flexibility as youcoordinate the care of your members.
Responsible for assessing and analyzing an injured employee to evaluate the medical and vocational needs required to facilitate the patients appropriate and timely return to work. Acts as a liaison with patient/family, employer, provider(s), insurance companies, and healthcare personnel. This is a field-based position in Eastern Orlando and Coastal 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. Laptop provided to assist with completing paperwork while waiting at MD appts.
Fundamental Components but not limited to the following:
Assesses and analyzes an injured employees medical and vocational status; develops a plan of care to facilitate the patients appropriate and timely return to work. Interviews patients in their homes, work-sites, or physicians office to provide ongoing case management services. Monitors patient progress toward desired outcomes through assessment and evaluation. Communicates both in-person and telephonically with patient, medical providers, attorneys, employers and insurance carriers; prepares all required documentation of case work activities. May arrange referrals, consultations and therapeutic services for patients; confers with specialists concerning course of care and treatment. Develops and administers educational and prevention programs. 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. Testifies as required to substantiate any relevant case work or reports. Performs other related duties as assigned.
3+ years of clinical nursing experience
1+ years case management experience
Workers Compensation/ Occupational Health experience highly preferred.
Ability to travel within a designated geographic area for in-person case management activities
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. Excellent communication 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. Strong computer skills
Effective computer skills including navigating multiple systems and keyboarding
The minimum level of education desired for candidates in this position is a Associate's degree or equivalent experience.
Active and unrestricted Registered Nurse (RN) license
One CERTIFICATION required:
Nursing/Certified CCM, COHN, CDMS, or CRRN certification REQUIRED.
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ADDITIONAL JOB INFORMATION
Case Manager works independently both in the home office environment as well as traveling in the field and making visits. The Case Manager sets their own schedule and works independently to reach the goals and the objectives set forth for the job and caseload. Other field Case Managers and the Manager are available for assistance and provide some team work to the position. This is a fast paced environment where the Case Manager can make a difference and each day has new challenges
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 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:
• Productivity incentives
• Monday-Friday schedule
• Reimbursement for mileage, tolls, parking, licensure and certification
· Laptop, iPhone & printer/fax/scanner all in one.
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.
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.