Case Manager RNPrimary Location: New Albany, OH
Additional Locations: OH-New Albany Apply
This position is for the Mercer Health Advantage In Touch Care Program. The hours of operation are 8:00 am to 4:30pm EST with a required an Evening Shift rotation 1:30 pm to 10:00 pm 1-2 times per month. The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. Requires an RN with unrestricted active license.
65142Fundamental Components: Fundamental Components related to Aetna In Touch Care Program include but are not limited to: - Utilizes influencing/motivational interviewing skills to ensure maximum member engagement to achieve optimal outcomes, Utilizes assessment techniques to determine members level of health literacy, technology capabilities, and/or readiness to change. - Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health. - Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices. Background Experience: 3+ years of Clinical experience required
3+ years Medical Surgical experience required
Strong computer and typing skills required
Experience with patient education & discharge planning required
RN unrestricted licensure required Additional Job Information: We are looking for a Case Manager to join the New Albany Dedicated Unit. Aetna In Touch Care model will be a combined case management and disease management focus. In this CM/DM role we are looking for a candidate who will assist with health care coordination, member satisfaction, and financial outcomes using targeted customer strategies and initiatives. The CM will provide telephonic member outreach for key educational and situational opportunities for increased case management and disease management identification and engagement. We will provide decision support and guidance for members and their families along with coordination of healthcare services. The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. Requires an RN with unrestricted active license. Minimum 3 to 5 years of recent experience. Strong knowledge of major health behavior models including Motivational Interviewing preferred. Must possess strong verbal, written communication skills, computer and keyboarding skills. Required Skills: Benefits Management - Understanding Clinical Impacts, General Business - Applying Reasoned Judgment, Service - Providing Solutions to Constituent Needs Desired Skills: Benefits Management - Supporting Medical Practice, General Business - Consulting for Solutions, Leadership - Collaborating for Results Functional Skills: Nursing - Case Management, Nursing - Concurrent Review/discharge planning, Nursing - Disease management, Nursing - Medical-Surgical Care Technology Experience: Aetna Application - Aetna Total clinical View, Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft Word, Operating System - Windows Education: Nursing - Certified Case Manager, Nursing - Registered Nurse 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.
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