Aetna Case Manager RN in Blue Bell, Pennsylvania
Req ID: 54260BR
Please note that this exciting Registered Nurse (RN) Case Manager position is an in-office opportunity in our Blue Bell, PA office location. We value leadership, creativity and initiative. If you share those values and a commitment to excellence and innovation, consider a career with our company.
This Registered Nurse (RN) Case Manager position is a great opportunity to join Aetna's National Account Care Management Solutions Team located in our Blue Bell, PA office. You'll have the opportunity to work in an exciting, fast pace atmosphere and administer a high touch integrated model for various designated customers. Please note that the schedule for this position is anticipated to be Monday through Friday standard business hours, with a once-per-week rotating evening shift until 7:00pm EST based upon business need.
Fundamental Job Components
The Nurse 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 care 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 case management plan, ongoing evaluation of the case plan with Medical Director as indicated, exceptional disease education skills and case closure when closure criteria achieved. This position requires an RN with an unrestricted active license. Multi-state licensure may be required within first year of employment.
Active and unrestricted Registered Nurse (RN) licensure required.3-5+ years of licensed clinical practice experience as a Registered Nurse required. Current or prior experience within Case Management (managed care, home health, or hospital) preferred, but not required. Bachelor's Degree preferred, but not required. Certified Case Manager (CCM) certification a plus! Bilingual proficiency in Spanish a plus!
The minimum level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Functional - Nursing/Medical-Surgical Care/4-6+ Years
Functional - Nursing/Case Management/1-3+ Years
Functional - Nursing/Discharge Planning/1-3+ Years
Technical - Desktop Tools/Microsoft Outlook/1-3+ Years/
Technical - Desktop Tools/Microsoft Word/1-3+ Years/
Benefits Management/Maximizing Healthcare Quality/FOUNDATION
General Business/Applying Reasoned Judgment/ADVANCED
Service/Providing Solutions to Constituent Needs/ADVANCED
Benefits Management/Understanding Clinical Impacts/FOUNDATION
General Business/Consulting for Solutions/ADVANCED
Leadership/Collaborating for Results/ADVANCED
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 hereto 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.
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.