Aetna National QM/UM Medicaid Nurse Educator in Louisville, Kentucky

Req ID: 44434BR


Strong clinical/technical training knowledge of the function being trained. Excellent platform skills and the ability to interact effectively with people at all levels of the organization. Basic understanding of adult learning principles and instructional design. This is a work-from-home position.

Fundamental Components:

Deliver training sessions to new hires and existing staff that successfully transfers learning from the classroom back to the job in order to facilitate appropriate delivery of benefits and/or health information. Requires an RN with unrestricted active license. This position will train work flows, processes, desktops, policies and systems.


  • Must have quality management background experience including but not limited; NCQA, HEDIS, Gaps in Care, potential quality of care, potential quality of service, quality performance metrics and reporting.

  • Additionally, this position will have the opportunity to train case and utilization management.


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


    Nursing/Board of Nursing (Any State) is required

    Quality Management/Total Quality Management Certification is desired

    Quality Assurance/Quality Improvement Associate Certification (CQIA) is desired


    Functional - Learning/Delivery - Distance Learning/1-3 Years

    Functional - Learning/Principals of Adult Learning/1-3 Years

    Functional - Learning/Needs analysis/1-3 Years

    Functional - Learning/Preceptor - Nurse/1-3 Years


    Technical - Desktop Tools/Microsoft Word/4-6 Years/End User

    Technical - Desktop Tools/Microsoft Outlook/7-10 Years/Power User

    Technical - Desktop Tools/Microsoft PowerPoint/4-6 Years/Power User

    Technical - Desktop Tools/Microsoft SharePoint/4-6 Years/Power User


    General Business/Applying Reasoned Judgment/ADVANCED

    General Business/Communicating for Impact/FOUNDATION

    Leadership/Collaborating for Results/FOUNDATION


    Leadership/Developing and Executing Strategy/FOUNDATION

    Benefits Management/Interacting with Medical Professionals/FOUNDATION

    General Business/Maximizing Work Practices/ADVANCED

    Telework Specifications:

    This position can reside in any state in the USA. If the employee is located in New Albany, OH, Phoenix, AZ or Hartford CT - the position may be in office based the distance from their home to the office.


    Be part of our mission to change the health care system and help people live healthier lives.

    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.

    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