Aetna Field Case Manager-Medical in Brooklyn, New York

Req ID: 36668BR

POSITION SUMMARY

Responsible for assessing and analyzing an injured employee to evaluate the medical and vocational needs required to facilitate the patients appropriate and timely return to work. 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. Registered nurse with current state RN license. Strong problem solving and analytical skills. Demonstrated computer skills and use of smartphone. Regular local travel required, requires own car and valid drivers license. Strong communication, organizational and interpersonal skills. CCM preferred. Previous case management or home care experience preferred.

Fundamental Components:

RN Field Case Manager

BACKGROUND/EXPERIENCE:

  • Current active and unrestricted NY RN License

  • CCM preferred, not required, but will be expected to obtain CCM certification when requirements met

  • Willingness to travel up to 80% of each work day

  • Familiar with smartphone, applications, Outlook, Windows 7

    EDUCATION

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

    LICENSES AND CERTIFICATIONS

    Nursing/Certified Case Manager (CCM) is desired

    Nursing/Certified Disability Management Specialist (CDMS) is desired

    Nursing/CRRN - Certified Rehabilitation Registered is desired

    Nursing/Registered Nurse (RN) is required

    FUNCTIONAL EXPERIENCES

    Nursing/Occupational/1-3 Years

    Nursing/Disability/1-3 Years

    Nursing/Case Management/1-3 Years

    Nursing/Medical-Surgical Care/1-3 Years

    Nursing/Home Health Care Ambulatory Nursing/1-3 Years

    TECHNOLOGY EXPERIENCES

    TechnicalExperience/TechnicalFocus/1-3 Years/End User

    ADDITIONAL JOB INFORMATION

    No holidays or weekends. Work independently as a consultant with additional opportunity to earn a monthly and quarterly bonus.

    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.

Job Function: Health Care