Aetna Case Manager RN in Blue Bell, Pennsylvania

Req ID: 54775BR

POSITION SUMMARY

Our department is fast paced unit and we have the ability to frequently change direction to focus on the needs of the unit. Our primary mission is focused on Healthy Outcomes for our members, Medicare STARS measures and closing those gaps.

Fundamental Components:

The telephonic case manager functions as a nurse educator role with our Medicare members. Must be able to engage our members to promote healthy lifestyles. This is a rewarding, exciting and fast-paced environment.

BACKGROUND/EXPERIENCE desired:

Registered Nurse (RN) is required

5+ years clinical practice experience is required

1+ years of case management experience is required

Geriatric experience preferred

EDUCATION

The minimum level of education desired for candidates in this position is a Associate's degree or equivalent experience.

LICENSES AND CERTIFICATIONS

Nursing/Registered Nurse is required

FUNCTIONAL EXPERIENCES

Functional - Nursing/Case Management/1+ Years

TECHNOLOGY EXPERIENCES

Technical - Desktop Tools/Microsoft Outlook/1+ Years/End User

REQUIRED SKILLS

Benefits Management/Maximizing Healthcare Quality/FOUNDATION

Benefits Management/Understanding Clinical Impacts/FOUNDATION

DESIRED SKILLS

General Business/Turning Data into Information/FOUNDATION

ADDITIONAL JOB INFORMATION

The Case Manager utilizes a collaborative process of assessment, planning, implementation and evaluation, to engage, educate, and promote/influence members decisions related to achieving and maintaining optimal health status. Requires an RN with unrestricted active license. Responsibilities include but are not limited to: member outreach for support and education, provider outreach for education and data gathering, member referrals to and collaboration with other Aetna teams for case management, social service needs and provider collaboration nurse involvement. This position is within the Aetna Medicare STARS Engagement team.

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 here to review the benefits associated with this position.

Aetna takes our candidates'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.