Aetna Nurse Consultant (RN) in Sugar Land, Texas
Req ID: 50074BR
This position is an in-office role open to sit in either the Sugarland, TX office, the High Point, NC office or the Hartford, CT office.
This role is a Monday-Friday position with 3 days working 8am-430pm CST and 2 days working 11:30am-8pm CST.
The Health Coach Consultant utilizes a collaborative process of assessment, planning, implementation and evaluation, to engage, educate, and promote/influence members decisions related to life style changes to achieve and maintain optimal health status. Requires an RN with unrestricted active license. -Responsible for managing patients in a telephonic educational disease management program.
This is a call center environment, majority of time is spent speaking telephonically with members.
Screens members to identify needed medical services, modifiable risk factors and educational needs and identifies or refers cases for other services.
-Intervenes to positively effect healthcare outcomes.
-Conducts individualized holistic clinical assessments of members care needs and develops a personalized disease-specific action plan.
-Promotes communication, both internally and externally, to enhance effectiveness of medical management services (member, family and health care team members respectively).
-Reinforces appropriate self-care teaching and monitoring, provides up-to-date health care information to help facilitate the members understanding of his/her health conditions.
-Helps member actively and knowledgeably participate with their provider in their own health care decision-making.
-Evaluates the members progress in meeting established goals and revises the care plan accordingly.
-Ensures accurate and complete documentation of required information to meet risk management, regulatory and accreditation requirements.
Minimum of 3 years clinical experience required (Med/Surg or chronic disease experience strongly preferred) Disease Management, Case Management or Managed Care experience preferredPrevious coaching experience preferredExcellent verbal and written communication skills required to provide patient educationProficiency in use of computer applications and typing skills (>35 wpm) highly recommendedA commitment to Excellence and Accountability -IntegrityAbility to be flexible and adapt to changing processes and schedule requirementsAbility to work with multiple screens is desired Bilingual (Spanish) preferred EDUCATION
The Minimum level of education required for candidates in this position is a Associate's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Registered Nurse (RN) with active state license in good standing required
Functional - Nursing/Medical-Surgical Care/1-3 Years
Functional - Nursing/Disease management/1-3 Years
Technical - Computer Operations/System and Console Operations/1-3 Years/End User
Technical - Desktop Tools/Microsoft Word/1-3 Years/End User
Technical - Desktop Tools/Microsoft PowerPoint/1-3 Years/End User
Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User
Benefits Management/Maximizing Healthcare Quality/FOUNDATION
Benefits Management/Understanding Clinical Impacts/ADVANCED
General Business/Turning Data into Information/ADVANCED
Leadership/Collaborating for Results/ADVANCED
M-F 40 hours
3 day shifts, 2 evenings, rotating late Friday shift
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 candidate'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