Aetna Disability Nurse Reviewer/Clinical Consultant (RN) Registered Nurse in Plantation, Florida
Req ID: 41886BR
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.
In the role as a disability nurse reviewer/consultant the you will impact a healthier return to work for a group of members undergoing short term disability diagnoses. Through the nursing assessment, and intervention the nurse will identify disabling diagnoses and resources both internal and external to maximize functionality in the process of a healthy return to work.
You will provide comprehensive clinical and/or behavioral health consultation to facilitate healthy return to work outcomes and/or appropriate claim resolution through the assessment of functional capacity to be used in disability claims management.
This is an opportunity to be part of a great team that connects with many internal resources and team members!
This opportunity is in office only and will be part of a large national account!
Leverages critical thinking, extensive clinical knowledge, experience and skills in a collaborative process to develop a comprehensive strategy for the member to reach a higher level of function and/or return to work. Consults and reviews clinical information and utilizes appropriate industry-standard tools, policy procedure and clinical judgment to provide a strategic plan of management. Consistently identifies appropriate specialties of external examiners and provides the Disability Benefit Managers instructions and questions for the examination. Completes comprehensive documentation according to established standards. Maintains and utilizes all resource material and systems to effectively manage job responsibilities.
At least 3-6 years of clinical RN experience required 2-3 years of case management experience in disability or related field is highly desired! RN with current unrestricted state licensure required. Nursing/Orthopedics is desired! Nursing/Medical Surgical-Oncology Nurse is desired! Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding MS Office to include Word and Outlook are needed!
The highest level of education desired for candidates in this position is a Associate's degree or equivalent experience.
Associate's Degree in Nursing, Bachelors preferred
LICENSES AND CERTIFICATIONS
Nursing/Certified Case Manager is desired
COHN is highly desired!
Functional - Nursing/Case Management/1-3 Years
Functional - Nursing/Disease management/1-3 Years
Functional - Nursing/Medical-Surgical Care/1-3 Years
Functional - Nursing/Quality Management/1-3 Years
Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User
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.
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