Aetna RN- Nurse Case Manager-Medical- Registered Nurse- Rochester NY! in Bohemia, New York

Req ID: 44627BR

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.

POSITION SUMMARY

The workers comp field case manager is responsible for assessing and analyzing an injured employee or claimant to evaluate the medical and vocational needs required to facilitate the patients appropriate and timely return to work. Responsible for providing case management services to achieve desired outcome.

This is a great opportunity for some flexibility in your schedule, you will be on the road with local travel 65-75% of your time, the other part of your time working from home. There is no overnight travel, all local.

This is a great role for an autonomous and independent position, yet to also be part of a team. High bonus opportunities!

Fundamental Components

Acts as a liaison with patient/family, employer, provider(s), insurance companies, and healthcare personnel. Interviews employee's in their homes, work-sites or physician offices to provide ongoing case management services. Evaluates employee progress toward desired outcomes through assessment and evaluation. Communicates both in person and telephonically with employee, medical providers, attorneys, employers and insurance carriers. Prepares all required documentation of case work activities. Coordinates referrals to specialists and alternate treatment provides as appropriate.

BACKGROUND/EXPERIENCE

Registered nurse with current NY state RN license with at least 2 years of experience. Home care or nursing that involves local travel is highly desired! Strong problem solving and analytical skills. Demonstrated computer skills. Regular local travel required. Strong communication, organizational and interpersonal skills. CCM preferred. Previous case management or home care experience preferred.Any experience with workers comp, occupational health or billing of either would be a huge plus!

EDUCATION

The highest level of education desired for candidates in this position is a Associate's degree or equivalent experience.

LICENSES AND CERTIFICATIONS

Nursing/Nursing License is required

Nursing/Certified Case Manager (CCM) is desired

FUNCTIONAL EXPERIENCES

Functional - Nursing/Case Management/1-3 Years

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

TECHNOLOGY EXPERIENCES

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

Telework Specifications:

Full-Time Telework/local travel (40 hours - 5 days per week ) (WAH with 65-75% daily travel on the road!)

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.

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 Function: Health Care