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Case Management Nurse Consultant (RN)
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Job Detail .
Job Title: Case Management Nurse Consultant (RN) .
Job Group: Health Care .
Requisition #: 23741 .
Location: Cranbury, NJ .
Travel: 0 - 10% .
FLSA Status: Exempt .
Full/Part Time: Full Time .
Supervisory: No .
Compensation .
Pay Opportunity: $51,390.00 - $62,000.00 .
Bonus Potential: Variable % .
Requirements .
ABOUT OUR COMPANY
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.
JOB MISSION SUMMARY
The dedication of talented and caring health care professionals drives the delivery of high quality, cost effective products and services. They make it possible for members to get the right health care treatment for their needs and for Aetna to keep its competitive edge.
RESPONSIBILITIES:
-We are looking for a case manager to manage the west coast membership until 8pm EST so location is flexible
-There may be a rotation to 8pm occasionally for east coast applicants.
-Interact with all members of the healthcare team-both internal and external to Aetna including patients, families, physicians, providers.
-This position also has the potential to be a part of our work at home program if eligible per Aetna program requirements
-Serve as an integral member of the care management team
-Utilize clinical skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options and services to facilitate appropriate inpatient healthcare management and effective discharge planning to improve the outcomes for members
-Obtain necessary information from providers and facilities concerning the care being provided to members
-Assess a member's clinical condition and ongoing medical services and treatments to determine medical appropriateness
-Guide the setting for medical intervention to achieve optimum length of stay for members; the early identification of continuing care needs to facilitate discharge to the appropriate setting and discharge planning & coordination
-Authorize and coordinate the required services, in accordance with the benefit plan
REQUIRED SKILLS:
-Registered Nurses with an active,unrestricted state licensure
-Case Management Certification preferred
-Consideration will be given to allow for obtaining the necessary experience and compentencies in the course of employment.
-Obtain and maintain CCM within 3 years of employment as a case manager
-3-5 years clinical experience in a hospital setting required and additional experience in an alternate setting such as home health or ambulatory care preferred
-Geriatric case management a plus in addition to working with the Medicare population
-Managed care case management and/or utilization management experience, 2 years preferred
-Strong customer service skills to coordinate service delivery including attention to customers ,sensitivity to issues, proactive identification and resolution of issues. Computer literacy including Excel and Word
-Ability to interpret and report data.
-Flex time and telework possible
-Some rotation to 8 PM EST possible.
We value leadership, creativity and initiative. If you share those values and a commitment to excellence and innovation, consider a career with our company.
Please note that benefit eligibility may vary by position. Click here to review the benefits associated with this position. .
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Aetna is an Equal Opportunity/Affirmative Action Employer. M/F/D/V
Equal Opportunity and Affirmative Action
Aetna is committed to maintaining an environment in which all employees are treated equitably and given the opportunity within the context of the business to achieve their potential. Aetna's Affirmative Action responsibilities extend to women, minorities, persons with disabilities and veterans. Company policy also provides for equal opportunity for qualified individuals regardless of race, color, sex, national origin, religion, age, disability, veteran status, sexual orientation, gender identity or marital status.
Applicant Category: Professional
Requisition Code: Work at home
Two Initials of Recruiter: bw
System Date: 05/01/2008
System Time: 15:42:25
Document Name(40): Case Management Nurse Consultant (RN)
Source: JobCentral - USA
SearchTerms: "work at home" "work from home"
URL(80): http://viewjob.jobcentral.com/ljh.asp?url=https%3A//aetna.recruitmax.com/ENG/can
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