Aetna Veterans Jobs

Job Information

Aetna Case Manager RN - Cook County in Downers Grove, Illinois

Req ID: 61501BR

Job Description

This field-based position utilizes critical thinking and judgment to collaborate and inform the case management process in order to assist in facilitating appropriate healthcare outcomes for members. The position provides nursing consult, recommendations, support and education for members transitioning from skilled nursing care into the community through the use of care management tools and resources.

Fundamental Components included but are not limited to:

Outreach: Field-based position that provides in-person education and information to nursing facility residents and staff in Northern area of Cook County

Care Plan Development: Works with Care Management staff to identify high risk medical and behavioral factors and service needs for members

Interdisciplinary Collaboration, Monitoring, Evaluation and Documentation of Care:

Using holistic approach consults with collateral contacts, supervisors, and/or other health programs to overcome barriers to meeting goals and objectives; identifies and escalates quality of care issues through established channels

Qualifications Requirements and Preferences:

RN with current unrestricted state licensure; Required

Bachelor's Degree BSN or equivalent experience; Required

3+ years clinical practice experience; Required

Skilled Nursing Facility/ Home Health experience; Preferred

Behavioral Health Experience; Preferred

Case Management in an integrated model; Preferred

Bilingual Spanish Fluency; Preferred

Licenses/Certifications:

Nursing - Registered Nurse

Functional Skills:

Clinical / Medical - General Management, Nursing - Case Management

Technology Experience:

Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft Word, Desktop Tool - TE Microsoft Excel

Additional Job Information:

50-75% Field Based travel within Cook County required

Opportunity for Telework available after successful completion of training

Ability to multitask, prioritize and effectively adapt to a fast paced changing environment. Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding. Effective communication skills, both verbal and written.

Benefit Eligibility

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.

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