Aetna Case Manager in Albany, New York

Req ID: 40876BR

POSITION SUMMARY

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.

    Qualification Requirements:

  • 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.

    Education:

    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 EXPERIENCES

    Functional - Nursing/Discharge Planning/1-3 Years

    Functional - Nursing/Case Management/1-3 Years

    TECHNOLOGY EXPERIENCES

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

    REQUIRED SKILLS

    Benefits Management/Maximizing Healthcare Quality/FOUNDATION

    Benefits Management/Supporting Medical Practice/FOUNDATION

    Benefits Management/Understanding Clinical Impacts/FOUNDATION

    DESIRED SKILLS

    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