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Aetna is now a CVS Health Company

Case Manager RN - Cook County

Primary Location: Downers Grove, IL
Additional Locations: IL-Downers Grove
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Description:
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:
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


Background Experience:
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




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.

Functional Skills:
Clinical / Medical - General Management, Nursing - Case Management

Technology Experience:
Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft Word, Desktop Tool - TE Microsoft Excel

Education:
Nursing - Registered Nurse

Potential Telework Position:
Yes

Percent of Travel Required:
50 - 75%

EEO Statement:
Aetna is an Equal Opportunity, Affirmative Action Employer

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

Candidate Privacy Information:
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.

Click To Review Our Benefits (PDF)

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