Aetna RN- Registered Nurse- Case Manager in High Point, North Carolina27260

Req ID: 40941BR

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! Do you enjoy a fast paced, high energy environment? Would you enjoy as an RN a Monday-Friday role?

POSITION SUMMARY

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!

Work from home opportunities may be available after 12-18 months.

Fundamental Components:

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.

BACKGROUND/EXPERIENCE

  • 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!

    EDUCATION

    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 EXPERIENCES

    Functional - Nursing/Case Management/4-6 Years

    TECHNOLOGY EXPERIENCES

    Technical - Operating Systems/Windows/4-6 Years/End User

    REQUIRED SKILLS

    Benefits Management/Maximizing Healthcare Quality/FOUNDATION

    Benefits Management/Understanding Clinical Impacts/FOUNDATION

    DESIRED SKILLS

    Leadership/Collaborating for Results/ADVANCED

    Leadership/Driving a Culture of Compliance/FOUNDATION

    Technology/Leveraging Technology/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