Aetna Workers Compensation RN Field Case Manager Registered Nurse in Danville, Virginia
Req ID: 62728BR
JOIN OUR GROWING TEAM
Are you tired of bedside nursing?
Are you looking to get away from 12-hour hospital shifts while continuing to utilize your RN expertise to impact the lives of patients in your local community?
We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Registered Nurses to join our Workers Compensation Field Case Management team. This opportunity offers a competitive salary, full benefits, and a performance-based bonus paid out on a monthly or quarterly basis. Our organization promotes autonomy through a Monday-Friday working schedule, paid holidays, and flexibility as you coordinate the care of your members.
The Case Manager uses a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual s and family s comprehensive health needs through communication and available resources to promote quality, cost effective outcomes.
Territory covered: Lexington, Lynchburg, Roanoke, Salem, Blacksburg, Christiansburg, Danville of Virginia.
Fundamental Components included but are not limited to:
Acts as a liaison with member/client /family, employer, provider(s), insurance companies, and healthcare personnel as appropriate. Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care. Interacts with members/clients telephonically or in person. May be required to meet with members/clients in their homes, work-sites, or physician s office to provide ongoing case management services.Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client s appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate.Communicates with member/client and other stakeholders as appropriate (e.g., medical providers, attorneys, employers and insurance carriers) telephonically or in person.Prepares all required documentation of case work activities as appropriate.Interacts and consults with internal multidisciplinary team as indicated to help member/client maximize best health outcomes.May make outreach to treating physician or specialists concerning course of care and treatment as appropriate.Provides educational and prevention information for best medical outcomes.Applies all laws and regulations that apply to the provision of rehabilitation services; applies all special instructions required by individual insurance carriers and referral sources.Testifies as required to substantiate any relevant case work or reports.Conducts an evaluation of members/clients needs and benefit plan eligibility and facilitates integrative functions using clinical tools and information/data. Utilizes case management processes in compliance with regulatory and company policies and procedures. Facilitates appropriate condition management, optimize overall wellness and medical outcomes, appropriate and timely return to baseline, and optimal function or return to work. Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes, as well as opportunities to enhance a member s/client s overall wellness through integration. Monitors member/client progress toward desired outcomes through assessment and evaluation.
Qualifications Requirements and Preferences:
3 years clinical practice experience (required for NCM role only).
3 years case management experience (required for NCM role, preferred for all other areas).
Effective computer skills including navigating multiple systems and keyboarding
Job-specific technical knowledge, (e.g., knowledge of workers compensation and disability industry for workers compensation case managers or case management).
Ability to travel within the Territory covered: Lexington, Lynchburg, Roanoke, Salem, Blacksburg, Christiansburg, Danville of Virginia area for in-person case management activities
Excellent analytical and problem solving skills
Bilingual Spanish preferred
Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications.
Ability to work independently.
Knowledge of laws and regulations governing delivery of rehabilitation services in the state of Virginia
Effective communications, organizational, and interpersonal skills.
Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) is preferred, but not required.
Certified Case Manager is preferred.
Must be a Registered Nurse with active VA license in good standing.
Nursing - Certified Case Manager, Nursing - Registered Nurse
Nursing - Home Health Care Ambulatory Nursing, Nursing - Medical-Surgical Care
Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft Word
Benefits Management - Interacting with Medical Professionals, Benefits Management - Understanding Clinical Impacts, General Business - Communicating for Impact
Benefits Management - Applying Life Cycle Intelligence, Benefits Management - Encouraging Wellness and Prevention, Benefits Management - Interacting with Medical Professionals
Additional Job Information:
Daily travel required, multi-tasking abilities and organizational skills a must. Must have Word, Excel, and computer competency skills. Area: Lexington, Lynchburg, Roanoke, Salem, Christiansburg, Blacksburg, Danville VA.
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
Job Function: Healthcare
Aetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.