Aetna Case Manager in Albany, New York
Req ID: 40876BR
The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individuals benefit design and/or acute health needs through communication and available resources to promote optimal, cost-effective outcomes. Requires an RN with unrestricted active license.
Fundamental components include, but are not limited to:
Understanding clinical impacts.
Providing solutions to constituent needs.
Providing education to promote health engagement.
Working closely with members to implement an individual plan of care.
Minimum of 3-5 years of clinical practice experience required.
Active, unrestricted RN licensure for State of NY.
Flexibility to work until 7pm as needed (approximately once per week).
Preferred Skills and Experience:
Case Management experience preferred.
The minimum level of education preferred for candidates in this position is a Bachelor's degree or equivalent experience.
Licenses and Certifications:
RN License required.
Certified Case Manager (CCM) is preferred.
Functional - Nursing/Discharge Planning/1-3 Years
Functional - Nursing/Case Management/1-3 Years
Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User
Benefits Management/Maximizing Healthcare Quality/FOUNDATION
Benefits Management/Supporting Medical Practice/FOUNDATION
Benefits Management/Understanding Clinical Impacts/FOUNDATION
Finance/Managing Aetnas Risk/FOUNDATION
General Business/Applying Reasoned Judgment/ADVANCED
Leadership/Collaborating for Results/ADVANCED
ADDITIONAL JOB INFORMATION
We value leadership, creativity and initiative. If you share those values and a commitment to excellence and innovation, consider a career with our company.
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