Aetna Case Manager (RN) Registered Nurse in High Point, North Carolina
Req ID: 42502BR
JOIN OUR GROWING TEAM!
Please note that we have multiple in-office openings in High Point for Registered Nurse (RN's) candidates to join our growing clinical team!
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!
Within commuting distance to Greensboro, Winston Salem and Kernersville, NC!
Work from home opportunities may be available after 12-18 months.
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.
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