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
Worker's Compensation RN Field Case Manager Registered Nurse Must mid-Michigan / greater Tri-city area of Bay City, Midland, SaginawPrimary Location: Midland, Michigan
Additional Locations: MI-Midland Apply
Work from home, includes daily travel around a multi-county area of mid-Michigan to facilitate client participation in medical treatment plans towards full rehabilitation. Case Manager coordinates and attends appointments with clients and providers, problem solves clinical issues as well as maintain ethical standards in all case management activities.
Fundamental Components but not limited tot he following:
- Requires a valid State of MI Registered Nurse license, is without open formal complaints or disciplinary action.
- Must reside in mid-Michigan / greater Tri-city area of Bay City, Midland, Saginaw
-Must have excellent communication skills including ability to problem solve with others.
- Requires strong knowledge of clinical protocols and ability to problem solving clinical issues
- Requires organizational skills including ability to independently prioritize issues and coordinate own schedule
- Be able to multi-task and have strong computer / technology skills
- Requires flexible work schedule including occasionally before 8 am and after 5 pm weekdays and weekends as needed. Stipend provided for working Catastrophic referrals after regular business hours/weekends.
- Must have a reliable car and be willing to travel 100 - 200 miles per day, 5 days per week. Mileage reimbursement provided.
- Must have a secure workspace at home to work uninterrupted, access to high speed internet, and ability to have private conversations without violating HIPPA standards.
About 50% of time spent traveling and attending appointments with clients and medical providers to review medical status and ensure provider is following clinical protocols per the diagnosis. 25% of time spent arranging, facilitating and confirming client participation in appropriate treatment plan. 25% of time spent documenting activities and making recommendations.
1 year+ case management or discharge planning experience.
5 years clinical nursing practice experience.
Ability to travel within a designated geographic area for in-person case management activities
Knowledge of laws and regulations governing delivery of rehabilitation services.
Job-specific technical knowledge, (e.g., knowledge of workers compensation and disability industry for workers compensation case managers or case management).
Excellent analytical and problem solving skills
Effective communications, organizational, and interpersonal skills.
Ability to work independently (may require working from home).
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 desired for candidates in this position is a Associate's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Nursing/Registered Nurse is required in the State of Michigan, active and unrestricted
Nursing/Certified Case Manager (CCM) is desired
Nursing/Certified Disability Management Specialist (CDMS) is desired
Nursing/CRRN - Certified Rehabilitation Registered (CRRN) is desired
Certified Occupational Health Nurse (COHN) is desired
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ADDITIONAL JOB INFORMATION
Candidate is able to work independently, will schedule and maintain flexible work hours. You are in charge of your schedule and set your own priorities, every day is different from the previous. The Field Case Manager will use their clinical skills in field setting including with clients at their home, at employer offices and in physician offices. Will receive mileage reimbursement, and a monthly bonus available for work over minimum requirement.
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.
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