Field Case Manager, RN -MedicalPrimary Location: Atlanta, Georgia
Additional Locations: GA-Atlanta Apply
Responsible for case management of eligible Aetna members with complex care needs; partners with an interdisciplinary team to deliver comprehensive, community-based case management services focused on helping the member maximize best health outcomes. Interacts with members in-person, in their home on a regular basis; also meets members at an agreed upon community location such as a library. Interacts with members telephonically following at least the minimum standard of contact required per member based on their level of intervention. Conducts in-person, individualized assessments to identify problems, goals, & interventions with corresponding measurable outcomes that drive the content of the holistic, member centered care plan.
RN licensure required
Excellent analytical and problem solving skills
Effective communications, organizational, and interpersonal skills.
Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications.
Effective computer skills including navigating multiple systems and keyboarding.
The minimum level of education required for candidates in this position is a Associate's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Nursing/Registered Nurse (RN) is required
Nursing/CMSA Case Management Society of America is desired
Nursing/Certified Case Manager (CCM) is desired
Functional - Nursing/Case Management/1+ Years
Functional - Nursing/Discharge Planning/4+ Years
Functional - Nursing/Home Health Care Ambulatory Nursing/1+ Years
Technical - Desktop Tools/Microsoft Outlook/1+ Years/End User
Technical - Remote Access/WAH (Work at Home)/1+ Years/End User
Telework is a requirement for this position, (no physical office location)
ADDITIONAL JOB INFORMATION
This is an exceptional opportunity for case management of Medicare members, in collaboration with the Multidisciplinary Team - Nurse Case Manager, Medical Director, Social Worker, Pharmacist, Behavioral Health to develop creative case plans with traditional and non-traditional resources. There are available educational opportunities to meet both personal and professional goals. We have a culture of a value-driven team.
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.
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