Aetna Registered Nurse (RN) - Medical Field Case Manager in King of Prussia, Pennsylvania

Req ID: 39267BR

POSITION SUMMARY

Work based from home includes daily travel around a multi-county area to facilitate client participation in treatment plans towards full rehabilitation. Case Manager coordinates and attends appointments with clients and providers, problem solves clinical issues as well as maintain ethical standards in all case management activities.

Will be responsible for covering 35 mile radius around West Chester, PA

Fundamental Components:

Requires a valid State of PA Registered Nurse license, is without open formal complaints or disciplinary action.

  • Must have excellent communication skills including ability to problem solve with others.

  • Requires strong knowledge of clinical protocols and ability to problem solving clinical issues

  • Requires organizational skills including ability to independently prioritize issues and coordinate own schedule

  • Be able to multi-task

    -Must be detail oriented and have excellent writing skills.

  • Must be able to work before 8 am and after 5 pm weekdays and weekends as needed. Stipend provided for working Catastrophic referrals after regular business hours/weekends.

  • Requires strong technology skills including keyboarding, use of MS Office and smartphones

  • Must have a reliable car and be willing to travel within 35 mile radius, 5 days per week. Mileage reimbursement provided.

  • Must have a secure workspace at home to work uninterrupted, access to high speed internet, and ability to have private conversations without violating HIPPA standards.

    About 50% of time spent traveling and attending appointments with clients and medical providers to review medical status and ensure provider is following clinical protocols per the diagnosis. 25% of time spent arranging, facilitating and confirming client participation in appropriate treatment plan. 25% of time spent documenting activities in the form of emails and reports and making recommendations.

    BACKGROUND/EXPERIENCE desired:

    Valid State of PA Registered Nurse license for at least 3 years and must be in good standing required

  • Would need to apply for the Stare of Delaware RN license within 3 months of hire

  • Must have valid Drivers License without any restrictions.

  • Strong skills working with technology including computers and smart phones is required

  • Certified Case Manager (CCM) preferred but not required.

  • Field Case Management or Home Health Care Experience is preferred.

  • Bilingual in English and Spanish is a plus

    EDUCATION

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

    LICENSES AND CERTIFICATIONS

    Nursing/Registered Nurse is required

    Nursing/Certified Case Manager is preferred

    FUNCTIONAL EXPERIENCES

    Functional - Nursing/Case Management/1+ Years

    Functional - Nursing/Clinical coverage and policies/4+ Years

    TECHNOLOGY EXPERIENCES

    Technical - Desktop Tools/Microsoft Outlook/4+ Years/End User

    Technical - Desktop Tools/Microsoft Explorer/4+ Years/End User

    Technical - Desktop Tools/Microsoft Word/4+ Years/End User

    Technical - Desktop Tools/Microsoft SharePoint/1+ Years/End User

    ADDITIONAL JOB INFORMATION

    This role is home based when not traveling and attending appointments with clients and medical providers

    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