Aetna Case Manager RN - Cook County in Downers Grove, Illinois
Req ID: 61501BR
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
Nursing - Registered Nurse
Clinical / Medical - General Management, Nursing - Case Management
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 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.