Aetna RN- ONSITE TELEPHONIC CASE MANAGEMENT (Registered Nurse) Irving or Houston Texas (CCM, COHN, CRRN, CDMS) in Irving, Texas

Req ID: 45606BR

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 Telephonic Case Manager works with employee, provider, employer, claims examiner, and vendors to coordinate medical care and facilitate return to work.

This role offers a chance to make an direct impact on your members! Come work with us!

This role will be onsite either in Irving or Houston TX, it is telephonic yet will be onsite with the customer.

It requires a CCM, COHN, CDMS or CRRN. It requires some workers comp experience.

Fundamental Components:

Working with the injured worker to return to work Will document and spend a good amount of time on the computer (strong computer skills are needed) Will work with claim examiners and vendors Will follow up on appointments and will work to connect member with any services needed. Will provide strong follow up and have strong organizational skills

BACKGROUND/EXPERIENCE

Workers Comp experience is needed. Registered Nurse with active state license in good standing in the state where job duties are performed. (TX) Additional national professional certification (CDMS, CRRN, COHN, or CCM) one of these is required. Previous case management, utilization review or managed care experience is highly preferred. At least a year or workers compensation experience as an RN is required 2-3 years as an RN in a clinical setting is needed.

EDUCATION

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

Nursing/Registered Nurse (RN) is required

CCM, COHN, CRRN, or CDMS is required!

FUNCTIONAL EXPERIENCES

Functional - Nursing/Case Management/1-3 Years

Telework Specifications:

Full Time telephonic onsite at a location, and will need to be licensed in TX

Registered Nurse (RN) with active state license in good standing.

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: Workers' Compensation