Aetna RN - Field Case Manager (Registered Nurse) Southern Maryland - 46205BR in Columbia, Maryland

Req ID: 46205BR

This position requires daily travel in the Southern Maryland area and near DC.

As a Field Case Manager (RN) you will be coordinating medical care for injured workers. You will coordinate medical care for industrially disabled individuals with focus on returning them to work. You will have the ability to work independently. You will have an opportunity to impact members lives by successfully helping them return to work. You will meet them at appointments, work with them on services needed and be a true case manager!

This is an opportunity to Work from home with travel requirement daily (up to 75%)

Fundamental Components

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. Daily travel in the field.

BACKGROUND/EXPERIENCE

Must have current Maryland RN in good standing. Must have strong clinical background with minimum of 4-6yrs of RN experience. WCCM required but can be obtained after hire. CCM preferred. Home Health, prior Workers Comp/Case Management/Rehab experience a plus. Bilingual preferred but not required. Work from home but daily travel required. Must have good analytical skills and critical thinking. Must have adult nursing assessment 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/Registered Nurse (RN) is required.

CCM is highly desired.

FUNCTIONAL EXPERIENCES

Functional - Nursing/Case Management/1-3 Years

Functional - Nursing/Medical-Surgical Care/1-3 Years

Functional - Nursing/Home Health Care Ambulatory Nursing/1-3 Years

Functional - Nursing/Disability/1-3 Years

Functional - Nursing/Emergency Room/1-3 Years

TECHNOLOGY EXPERIENCES

Technical - Operating Systems/Windows/1-3 Years/End User

Telework Specifications:

Work at home: due to need to do visits with employers

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.

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Job Function: Health Care