Aetna Workers Compensation Registered Nurse (RN) Telephonic Case Manager - 49927BR in Harrisburg, Pennsylvania

Req ID: 49927BR

POSITION SUMMARY

The Workers Compensation Telephonic Case Manager works with the employees, providers, employers, claims examiners and vendors to coordinate medical care and facilitate the timely return to work with an injured worker. You will telephonically manage cases for injured workers, making sure they attend appointments, following up on resources needed and documenting. You will make a direct impact on the members!

This role requires active, unrestricted Pennsylvania RN Licensure and Workers Comp experience in the state of Pennsylvania. It is full-time work at home role.

Fundamental Components:

  • Daily calls with the members, providers, claim examiners and any other resource needed.

  • Documenting and keeping records for billing purposes and compliance.

  • Working with MS Office and multiple systems daily.

  • Organizing your workload and day, depending on needs

  • Talking with the members and providers while you are documenting at the same time

BACKGROUND/EXPERIENCE

  • Registered Nurse (RN) with active state license in good standing in the state of PA is required.

  • Minimum of 3 years clinical practice experience is required.

  • Workers Comp experience in the state of PA (knowledge of PA Workers Comp laws) is required (case management and/or utilization management).

  • Strong computer skills including MS Office, Windows knowledge, strong keyboarding skills and ability to work in multiple systems at one time is required.

  • Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) is preferred.

EDUCATION

The minimum level of education required for candidates in this position is an Associate's degree.

LICENSES AND CERTIFICATIONS

Nursing/Registered Nurse (RN) in PA is required.

CCM, COHN, CDMS and CCRN is highly preferred.

TELEWORK SPECIFICATIONS:

Full-time work at home position; must be within driving distance of Philadelphia, PA.

FUNCTIONAL EXPERIENCES

Functional - Nursing/Case Management/1-3 Years

ADDITIONAL JOB INFORMATION

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.

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Job Function: Workers' Compensation