Registered Nurse (RN) - Remote Flex Case Manager
Location: Atlanta Georgia
Description: Aetna is at present looking to employ Registered Nurse (RN) - Remote Flex Case Manager right now, this job will be placed in Georgia. More details about this job opportunity please give attention to these descriptions. Working At Aetna -- the Value To YouWhat does it mean to work at Aetna? A lot. From programs and benefits that support your financial, physical and emotion! al health to opportunities to build your knowledge and expand your career, the company makes working here a valuable experience in many ways.
Candidate must live within two hours to Aetna's Atlanta, GA office.
POSITION SUMMARY
The 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. Requires an RN with unrestricted active license.
More specifically, Case Management (CM) is defined as a collaborative process that assesses, plans, implements coordinates, monitors and evaluates options and services to meet an individual's health needs through communication and available resources to promote quality, 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, m! onitoring and evaluating the plan and involving the Medical Director as indicated and closing the case as appropriate when the member has met discharge criteria.
Required Skills:Ideal Candidate:
- 3-5 years clinical practice experience, preferably in acute care, in a hospital setting.
- 2 years managed care case management and/or utilization management experience.
- RN unrestricted state licensure; Case Management Certification "CCM" preferred, consideration will be given to allow for obtaining the necessary experience and competencies in the course of employment.
- Obtain and maintain CCM within three years of employment as a case manager.
- Strong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members.
- Computer literacy in order to navigate through internal! /external computer systems, including Excel and Microsoft Word.
- Ability to effectively participate in a multi-disciplinary team including internal and external participants.
- Initiative, innovation and creativity.
- Self directed and motivated to achieve positive outcomes for members.
- Excellent/Proven clinical assessment skills with ability to make good decisions and exercise sound clinical and professional judgment as well as manage multiple priorities.
The highest level of education desired for candidates in this position is a Associate's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Nursing/Certified Case Manager (CCM) is desired
Nursing/Registered Nurse (RN) is required
REQUIRED FUNCTIONAL EXPERIENCES
Functional - Nursing/Medical-Surgical Care/1-3 Years
Functional - Medical Management/Nursing/Case Management/1-3 Years
Functional - Medical Management/Discharge p! lanning/4-6 Years
TECHNOLOGY EXPERIENCES
Technical - Deskt! op Tools/Microsoft Outlook/1-3 Years
Technical - Desktop Tools/Microsoft Explorer/1-3 Years
Technical - Desktop Tools/VSI Fax Server/1-3 Years
REQUIRED SKILLS
Benefits Management/Supporting Medical Practice
Technology/Leveraging Technology
Benefits Management/Understanding Clinical Impacts
DESIRED SKILLS
General Business/Turning Data into Information
Service/Providing Solutions to Constituent Needs
Leadership/Collaborating for Results
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 12612BR in the keyword field. Addition! al 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 id! entity 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).
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If you were eligible to this job, please email us your resume, with salary requirements and a resume to Aetna.
If you interested on this job just click on the Apply button, you will be redirected to the official website
This job starts available on: Fri, 21 Jun 2013 15:08:28 GMT
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