Aetna RN- Telephonic Case Manager (Registered Nurse) Compact State (COHN, CCM, CRRN) in Phoenix, Arizona

Req ID: 45647BR

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. Come join us!

POSITION SUMMARY

The Workers Comp Telephonic Case Manager works with the employees, providers, employers, claims examiners and vendors to coordinate medical care and facilitate the timely return to work with an injured worker. You will telephonically manage cases for injured workers, making sure they attend appointments, following up on resources needed and documenting. You will make a direct impact on the members!

Fundamental Components:

Daily calls with the members, providers, claim examiners and any other resource needed. Documenting and keeping records for billing purposes and compliance. Working with MS Office and multiple systems daily. Organizing your workload and day, depending on needsTalking with the members and providers while you are documenting at the same time

BACKGROUND/EXPERIENCE

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

CA Licensure would be a plus!Minimum of 3 years clinical practice experience highly desired.Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) would be preferred. Previous workers comp, case management, UR experience is preferred. Strong analytical skills

Strong computer skills including MS Office, Windows knowledge, strong keyboarding skills and ability to work in multiple systems at one time.

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) - compact state

CCM, COHN, CDMS and CCRN highly preferred!

FUNCTIONAL EXPERIENCES

Functional - Nursing/Case Management/1-3 Years

Telework Specifications:

Full Time work at home position, any compact state, CA licensure preferred.

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