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.
What makes a successful nurse? Here are the traits we are looking for:
- Problem Solver
- Results Driven
- Technology Savvy
- Detail Oriented
- Good Listener
- Open Minded
- Team Player
Paid Time Off & Disability
Telephonic Case Manager RN Registered NursePrimary Location: High Point, North Carolina
Additional Locations: NC-High Point Apply
your nursing skills, while aiding in the reduction of hospital readmissions and
helping patients get back to their daily life faster? How about dipping your
toes into population health nursing and impacting the lives of patients and
their families, with no limitation on how long it may take to help that member
meet their desired health goals? We are looking for full-time RNs to join our
team, in the role of Telephonic Case Manager. RN Case Managers will guide
members telephonically in defining their health goals and taking appropriate
steps to achieve their optimal state of wellness.
> All activities completed telephonically with the member
> Case Manager will work with
members currently in an acute illness, such as a hospitalization to facilitate
discharge to the next appropriate level of care while addressing any chronic
> Alternatively, Case Managers will work with members at-risk
for experiencing . Goals for this type of member focuses on ensuring our
members are referred to the appropriate providers to ensure conditions are
actively being treated.
> Case Manager will assess the medical, psychosocial
and social determinants of health for the member, as well as their family and
> Working with the member, the CM will assist the member in
developing appropriate and realistic health goals, including activities >
Case Managers have multiple resources to utilize to assist in meeting the
goals, such as Registered Dietitians, Social Workers, Medical Directors,
Pharmacists and more.
> Position is 100% office based and the position
utilizes the telephone and computer almost exclusively. Typing is a necessary
> The hours are Monday – Friday with no weekends and paid holidays.
> The office is located at 4050 Piedmont Parkway, High Point, NC. Position
is within commutable distance to High Point, Greensboro, Winston-Salem and
> Must have an active and unrestricted RN license active and unrestricted for the state of North Carolina
> Minimum of 2 years of clinical experience as an RN (All clinical experience will be considered, such as Emergency
Department, Home Health, Hospice, Operating Room, ICU, NICU, Telemetry, Medical/ Surgical, Orthopedics, Long Term Care and Infusion nursing.)
> Strong telephonic communication skillsAdditional Job Information: In this role, you will have
the ability to see to it that your members get to their follow up appointments,
fill those discharge medications and ideally get back to work and prevent
hospital readmissions. This role provides continuity of care, in that the CM
will be assigned to their particular members as long as the member remains on
our medical plan. Walking along the healthcare journey with your member, you
will be able to see positive behavior changes. Required Skills: Benefits Management - Maximizing Healthcare Quality, General Business - Applying Reasoned Judgment, Service - Providing Solutions to Constituent Needs Functional Skills: Nursing - Skills Progression-Command Technology Experience: Desktop Tool - Microsoft Word Education: Nursing - Registered Nurse (RN) Potential Telework Position: Yes 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.
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