Aetna UM Nurse Consultant in Richmond, Virginia

Req ID: 43588BR

POSITION SUMMARY

Utilization management for acute inpatient hospitalization, acute inpatient rehabilitation, cross coverage for other staff members.

Fundamental Components:

Member advocacy

Review inpatient hospital admissions/rehab

Liaison between acute providers and Aetna

Participate in Interdisciplinary team rounds

Make appropriate referral to address members needs

Maintain appropriate documentation that meets documentation standards

BACKGROUND/EXPERIENCE:

3-5 years of clinical experience required

Managed Care experience preferred

EDUCATION

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

LICENSES AND CERTIFICATIONS

Either of the following is required:

Nursing/Licensed Practical Nurse (LPN)

Nursing/Registered Nurse (RN)

FUNCTIONAL EXPERIENCES

Functional - Nursing/Medical-Surgical Care/

ADDITIONAL JOB INFORMATION

Become part of an Interdisciplinary team that is member focused. We value your input in order to service our members effectively.

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