Aetna UM Clinical Consultant in Philadelphia, Pennsylvania

Req ID: 42818BR


Handle prior authorization requests using clinical judgment. Communication with providers and staff in other departments

Please note: Schedule will fall between Thursday - Monday

Fundamental Components:

Handle prior authorization requests using clinical judgment. Communication with providers and staff in other departments


RN with active license in state in which you reside is required

3+ years clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.

Managed care/utilization review experience preferred


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

Telework Specifications:

Full time permanent work from home with the expectation of coming in for meetings as needed


full time work from home Work with a great team that is committed to to the population we serve

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