As a case manager you will work for a single account in a collaborative environment. Through the process of assessment, planning, and advocacy you will help the member achieve their highest level of health in the most appropriate and cost-effective setting. We are seeking RN's that have strong general medical/surgical experience. All member/provider contact is by phone or electronic media with an expectation that timeliness standards are met. You will make an impact in this role!
This position is in an office environment using a computer station and may require sitting for extended periods of time.
This is ideal for an applicant seeking a fast paced environment! This is a full time position, M-F, requiring 2 or 3 times a month a shift until 9:00pm. Will be located at 4050 Piedmont Parkway. We are looking for someone who enjoys working in an office in a high energy and motivated team environment!
The Case Manager is responsible for telephonically assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs, overall wellness and/or appropriate and timely return to work.
The case manager develops a proactive course of action to enhance short and long term outcomes as well as identifying opportunities to enhance a members overall wellness through integration with partner programs.
- Current, unrestricted RN license is required
- Minimum of 4 years diverse clinical background
- Case Management and/or Managed Care experience is a plus
- Strong technical and computer skills are a must, including Microsoft Office products!
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Nursing/Registered Nurse (RN) is required
Functional - Nursing/Case Management/4-6 Years
Technical - Operating Systems/Windows/4-6 Years/End User
Benefits Management/Maximizing Healthcare Quality/FOUNDATION
Benefits Management/Understanding Clinical Impacts/FOUNDATION
Leadership/Collaborating for Results/ADVANCED
Leadership/Driving a Culture of Compliance/FOUNDATION
ADDITIONAL JOB INFORMATION
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.