Aetna Manager, Field Case Management RN Workers Compensation in Chicago, Illinois
Req ID: 51767BR
JOIN OUR GROWING TEAMAre you tired of bedside nursing?Are you looking to get away from 12-hour hospital shifts while continuing to utilize your RN expertise to impact the lives of patients in your local community? We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Manager's of Registered Nurses to join our Workers Compensation Field Case Management team. This opportunity offers a competitive salary, full benefits, and a performance-based bonus paid out on a monthly or quarterly basis. Our organization promotes autonomy through a Monday-Friday working schedule, paid holidays, and flexibility as you coordinate the care of your members.
Position Summary/MissionManages all activities of Field Case Managers within an assigned geographic area. Responsible for ensuring quality consistency and cost effectiveness of delivered services.Fundamental Components & Physical Requirements include but are not limited to the following:
Ensures deliver of quality services consistent with customer requirements and company objectives by working to optimize quality, effectiveness, and efficiency of services provided by Field Case Managers (FCM); assures production and quality of FCM s performance in accordance to established guidelines. Recruits, develops, and motivates staff; provides necessary resources for Field Case Managers to provide quality, cost effective, proactive case management; plans for the growth and development of FCM staff through professional staff development and promoting advanced certifications.Meets regularly with staff to provide meaningful direction on management of case files; provides expert coaching and serves as consultative resource to staff. Manages referral assignments and caseloads to maximize the FCM s productivity and ability to provide a quality product to the customer. Identifies and recommends opportunities for cost savings and improving the quality of services provided.Builds and maintains positive working relationships with all internal and external customers; provides timely responses to all customer inquiries. Maintains awareness of market opportunities and communicates with sales staff as appropriate.Initiates and communicates a variety of personnel actions including employment, termination, performance reviews, salary reviews, and disciplinary actions. Performs other related duties as required.Exhibits the following Employee BehaviorsPerformance MeasuresBackground/Experience Registered Nurse (RN) with active state license in good standing in the state where job duties are performed.Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) preferred, but not required.Minimum of three years' recent and related supervisory or project lead experience required.Knowledge of workers compensation and disability industry.Effective communication skills, both verbal and writtenEffective time management and organizational skills.Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications.Education and Certification RequirementsBachelor's degree in a closely-related field, or equivalent combination of education and experience.Masters degree preferred.
Functional - Nursing/Case Management/4-6 Years
Functional - Nursing/Medical-Surgical Care/1-3 Years
Functional - Medical Management/Medical Management - Case Management/4-6 Years
Functional - Medical Management/Medical Management - Workers compensation/1-3 Years
Functional - Management/Management - Operations/1-3 Years
Technical - Desktop Tools/Microsoft Outlook/4-6 Years/End User
Technical - Desktop Tools/Microsoft Word/4-6 Years/End User
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.
All employees are expected to embody our values of Excellence, Integrity, Caring and Inspiration in all that they do as an employee. The overall responsibility of the Field Case Manager is to ensure the injured worker receives the best possible care in a timely and efficient manner towards full rehabilitation and return to work. Please note that we do offer mileage reimbursement for local travel. As a Workers Compensation Field Case Manager, you will be offered:AutonomyProductivity incentivesMonday-Friday scheduleReimbursement for mileage, tolls, parking, licensure and certification· Laptop, iPhone & printer/fax/scanner all in one.
All major holidays are paid time off, vacation and sick time off is accrued. Full benefits offered including 401(k) and many corporate discounts available. Employees are reimbursed for fees to maintain licensure as well as free CEU s to maintain licensure. Continuing Education credits are available/provided for RN and a various industry certifications too. Work from home with in-state travel. In addition to annual salary, position has potential for a monthly monetary bonus. Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
Job Function: Workers' Compensation