Aetna RN Assessor in Princeton, New Jersey

Req ID: 54034BR

Please note: Candidates must reside in Passaic or Bergen county, NJ

POSITION SUMMARY

This is a full time RN Assessor who will make visits to Aetna Members and complete needs assessments for personal care assistance services, Adult and pediatric medical day care services, and MLTSS clinical eligibility. This position requires nursing clinical judgment, travel, and work at home computer data entry.

Fundamental Components:

Assessment of Members:

  • Through the use of clinical assessment tools and information/data review, conducts comprehensive assessments of referred members needs/eligibility and determines clinical eligibility for requested services and/or meeting needs by evaluating members benefit plan and available internal and external programs/services.

  • Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution of member issues.

  • Assessor must ensure visit timeliness as per contractual requirements and be able to communicate needs in a professional manner to the case management teams.

  • Must have strong clinical documentation skills.

    BACKGROUND/EXPERIENCE desired:

    Required to have active non restricted RN License in NJ.

    2+ years clinical practice experience is required

    Position is field based and candidate must be able to travel to members homes in assigned counties to conduct assessments

    Training in Princeton office for approximately up to 6 weeks.

    Background in care management, discharge planning, and/or clinical assessments is preferred

    Knowledge of electronic health documentation and MS office products is strongly preferred

    Bilingual preferred.

    EDUCATION

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

    LICENSES AND CERTIFICATIONS

    Nursing/Registered Nurse (RN) is required

    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.

    Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

    Aetna takes our candidates'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

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.