Case Manager (12 openings)--RN

Aetna - New Albany

Posted 731 days ago
  • Experience
    Associate
  • Job function
    Health Care Provider
  • Employment type
    Full-time
  • Industry
    Insurance
  • Job ID
    3771478

This is a preview of the Case Manager (12 openings)--RN job at Aetna. To view the full job listing, join LinkedIn - its free!Join LinkedIn - its free!

About this job

Job description

Working At Aetna -- the Value To You

What does it mean to work at Aetna? A lot. From programs and benefits that support your financial, physical and emotional health to opportunities to build your knowledge and expand your career, the company makes working here a valuable experience in many ways.





Aetna One Integrated In Touch Care Model
Aetna One builds on our ability to integrate across product lines and provides a seamless delivery of products, programs and services. These solutions also help improve member health and productivity, and lowers benefits trend over time. It is an innovative program that integrates health services and data across multiple benefits and wellness programs. Its goal is to help improve employee productivity and reduce health care and disability costs. Thus, additional plan sponsors have chosen to move forward with this model, and new careers are now available within the Aetna One unit.

Careers with Aetna One New Albany, OH
9223BR--Case Manager--RN (12 Openings) *position of initial interest advertised below, please apply
9225BR--Case Manager--RN (10 Openings)
9329BR--Care Management Nurse Supervisor--RN (2 Openings)
9222BR--Utilization Management Nurse Consultant--RN (7 Openings)
9224BR--Utilization Management Nurse Consultant--RN (2 Openings)
9291BR--Bilingual Social Worker (Spanish)--LCSW (1 Opening)

To view the additional jobs above please follow the directions below to apply. In addition, due to the large and growing number of openings, pass along the news of these opportunities to others for their consideration as well.

1.Go to the Aetna Careers Website by copying and pasting the link into a new browser:www.aetna.com/working

2. In the blue box on the left hand side click "Find a Career"

3. At the top of the page click "apply for Aetna jobs online"

4. Click "Search Openings"

5. Scroll down and where it says "Autoreq ID" please enter the correct BR from the list above

6. You will be able to complete your application from this page

Aetna is always in search of the top talent across the country. We encourage you to apply now for immediate consideration by searching for openings at Aetna.com, or you can view and apply to some of the specific openings by following the directions above.

You can learn more about the values of our company and what it is like to work at Aetna by visiting ourCareers page.

Required Skills:
9223BR--Case Manager--RN (12 Openings)
Evening Shift rotation (12:30 pm to 9:00 pm) 1-2 times per month.

POSITION SUMMARY
The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. The CM process includes: assessing the member's health status and care coordination needs, inpatient review and discharge planning, developing and implementing the CM plan, monitoring and evaluating the plan and involving the Medical Director as indicated and closing the case as appropriate when the member has met discharge criteria.

The responsibilities of this position are to apply data driven methods of identification of members to fashion individualized case management programs and/or referrals to alternative healthcare programs. Conducts comprehensive clinical assessments. Evaluates needs and develops flexible approaches based on member needs, benefit plans or external programs/services. Advocates for patients to the full extent of existing health care coverage. Promotes quality, cost effective outcomes and makes suggestions to improve program/operational efficiency. Identifies and escalates quality of care issues through established channels. Expectation is a very high level of customer service.

The ideal candidate is a Registered Nurse with an unrestrictive license and minimum 3-5 years clinical experience. The candidate has the ability to exercise independent and sound judgment, has strong decision-making skills and well-developed interpersonal skills. Ability to manage multiple priorities, effective organizational and time management skills along with strong teamwork skills. Managed Care experience and prior experience within a telephonic customer service center type of environment is preferred. Candidate must possess good computer skills.

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

LICENSES AND CERTIFICATIONS
Nursing/Certified Case Manager (CCM) is desired
Nursing/Registered Nurse (RN) is required

FUNCTIONAL EXPERIENCES
Nursing/Case Management/1-3 Years
Nursing/Medical-Surgical Care/4-6 Years
Nursing/Concurrent Review/discharge planning/1-3 Years

TECHNOLOGY EXPERIENCES
Desktop Tools/Microsoft Outlook/1-3 Years
Desktop Tools/Microsoft Word/4-6 Years
Aetna Applications/Aetna Total clinical View/1-3 Years
Aetna Applications/Aetna Strategic Desktop/1-3 Years

REQUIRED SKILLS
Benefits Management/Understanding Clinical Impacts
Service/Providing Solutions to Constituent Needs
Benefits Management/Supporting Medical Practice

DESIRED SKILLS
Leadership/Collaborating for Results
Finance/Managing Aetnas Risk
Benefits Management/Maximizing Healthcare Quality


Please note that benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Aetna does not permit the use of tobacco related products or drugs in the workplace.



How to apply
Please use the "Apply" link to apply to this position. If you cannot view this link, you can find this position on our website by visiting: www.aetna.com/working, click on apply online, search openings, and enter 9223BR in the keyword field. Additional information on what it's like to work for Aetna and more can also be found on our website.

We value leadership, creativity and initiative. If you share those values and a commitment to excellence and innovation, consider a career with Aetna.

We conduct pre-employment drug and background testing.
Aetna does not permit the use of tobacco related products or drugs in the workplace.

Aetna is an Equal Opportunity/Affirmative Action Employer. M/F/D/V

Aetna is committed to maintaining an environment in which all employees are treated equitably and given the opportunity within the context of the business to achieve their potential. Aetna's Affirmative Action responsibilities extend to women, minorities, persons with disabilities and veterans. Company policy also provides for equal opportunity for qualified individuals regardless of race, color, sex, national origin, religion, age, disability, veteran status, sexual orientation, gender identity or marital status.

No search firms please.

You will not be asked for personal information until you have been fully evaluated through Aetna's screening processes. Aetna will never ask applicants for money. If you want to verify the identity of someone who contacts you from Aetna, call 1-800-AETNAHR (1-800-238-6247).

About this company

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This is a preview of the Case Manager (12 openings)--RN job at Aetna. To view the full job listing, join LinkedIn - its free!Join LinkedIn - its free!

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