Aetna Bilingual Case Manager RN (Spanish/English) - 48658BR in Sunrise, Florida

Req ID: 48658BR


This is a new and exciting opportunity to work with Aetna International! The RN 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 for our Americas International membership.

This is an In Office position in Sunrise, FL for all external candidates. Internal Aetna employees who are currently working from home may continue to do so if hired into this role.

BACKGROUND/EXPERIENCE: Bilingual Spanish- Oral and Written fluency; Required 3-5 years clinical practice experience in a hospital environment; RequiredFL Registered Nurse License; RequiredComputer Skills and familiarity with Excel spreadsheets, Word documents and Internet Research; RequiredPrior utilization review and case management experience in a managed care, home health, or hospital environment; PreferredEDUCATION

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


Nursing/Registered Nurse; Required

Nursing/Certified Case Manager (CCM); Desired

Healthcare Management ; Desired

Insurance; Desired


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

Functional - Clinical / Medical/Concurrent review / discharge planning/1-3 Years

Functional - Clinical / Medical/Disease management/1-3 Years

Functional - Nursing/Case Management/1-3 Years

Functional - Medical Management/Medical Management - Hospital/1-3 Years


Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User

Technical - Desktop Tools/Microsoft Explorer/1-3 Years/End User

Technical - Aetna Applications/Aetna Total clinical View/1-3 Years/End User

Technical - Aetna Applications/DocFind/1-3 Years/End User


Benefits Management/Maximizing Healthcare Quality/FOUNDATION

Benefits Management/Supporting Medical Practice/FOUNDATION

General Business/Applying Reasoned Judgment/ADVANCED

Telework Specifications:

This is an In Office position in Sunrise, FL for all external candidates. Internal Aetna employees who are currently working from home may continue to do so if hired into this role.


The ideal candidate will be a professional Registered Nurse with an unrestricted, active license and support delivery of UM/CM services to Aetna International consumer members having excellent verbal and written communication skills, who is able to think independently and works as a team member, has strong organizational and time management skills, and can manage multiple and shifting priorities throughout the day.

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 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