Skip to main content

Nurse Careers

At Aetna, we’re pioneering a total approach to health and wellness, focusing on the whole person - body, mind, and spirit. Our more than 4,000 nurses are central to turning our member’s health ambitions, big and small, into achievements. Your role will include helping members stay well, manage health conditions, and access the right care at the right time. As you do this, we’ll support you in achieving more in your life and your work.

Back to Job Navigation (Overview)

Success Profile

What makes a successful nurse? Here are the traits we are looking for:

  • Collaborative
  • Deadline-oriented
  • Organized
  • Problem Solver
  • Results Driven
  • Technology Savvy
  • Adaptable
  • Compassionate
  • Detail Oriented
  • Flexible
  • Good Listener
  • Open Minded
  • Responsible
  • Team Player

Back to Job Navigation (Success)

Benefits

  • Health

  • Wellness

  • Financial

  • Paid Time Off & Disability

  • Life Insurance

  • Additional Benefits

Back to Job Navigation (Rewards)

Job Details

A1A Precertification Case Manager (RN) - $5,000 Sign-On Bonus

Primary Location: High Point, North Carolina
Additional Locations: NC-High Point
Apply
Description:
This role is office-based in High Point, NC.
The required hours are Monday-Friday 8:00am-4:30pm EST with occasional evening shift rotation until 8pm.
New hires are eligible for a one-time sign-on bonus of $5,000.


A1A (Aetna One Advocate) is a fully integrated population health and customer service solution for large plan sponsors. Our embedded and customer-dedicated service, clinical, and rising risk pods allow maximization of inbound and outbound touchpoints to solve members’ needs and create behavior change. Our white-glove service and end-to-end ownership of member support creates a trusted partner in health. We are the premiere service and clinical offering for Aetna nation-wide and create industry-leading solutions for our customers and members.

The Clinical Services Advocate is part of a dedicated team of clinical and service professionals empowered to take care of all aspects of a member’s health. Clinical Services Advocates are responsible for providing personalized, end to end member support including coordination of health care services, decision support, benefits support, complex case management and chronic condition management. Clinical Service Advocates serve as a single point of contact to help the provider, member and family maximize benefits and easily navigate the health care system. The Clinical Advocate provides the member and provider community with a powerful and proactive experience through high touch, personalized communications designed to help the member achieve their health ambition in collaboration with the provider.

Fundamental Components:
- Facilitate the ongoing coordination and delivery of health care services to enhance a member’s health, wellness and achieve quality outcomes.
- Effectively engage members using omni-channel communication mechanisms (phone,email, chat, text, IM).
- Develop a personalized plan with member based on their health ambition and communication preferences.
- Serve as single point of contact for the member and enrolled family.
- Assist with effective use of health care benefits, access to available programs/services and determining next best actions to achieve health ambitions.
- Conduct proactive outreach to at risk members and leverage available data to identify actionable health needs.
- Holistically assess member’s needs and collaborate with treating providers, vendor partners and other Advocate team members to formulate care plans and coordinate services.
- Develop personalized, creative solutions to help member’s meet their health care needs.
- Assist members to prioritize health goals to achieve positive outcomes and health ambitions.
- Build strong, trusting relationships by fully understanding the member’s needs and goals

Background Experience:
-RN with current unrestricted state licensure required
-3+ years clinical practice experience required
-Case Management in an integrated model preferred
-Bilingual preferred


Additional Job Information:
Typical office working environment with productivity and quality expectations Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor. Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer. 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.

Required Skills:
General Business - Communicating for Impact, General Business - Consulting for Solutions, General Business - Demonstrating Business and Industry Acumen

Desired Skills:
Leadership - Collaborating for Results

Functional Skills:
Nursing - Case Management, Nursing - Concurrent Review/discharge planning

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

Education:
Nursing - Registered Nurse (RN)

Potential Telework Position:
No

Percent of Travel Required:
0 - 10%

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)

Apply

Sign up for Job Alerts

Explore This Area

Check out where you could be working if you apply.

View Map

Similar Jobs

Join Our Talent Community

Sign up to receive information about job openings that are tailored to your skills and interests. Plus, get the latest career news from Aetna.