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Aetna is now a CVS Health Company

Clinical Assessment Nurse (UAS) Bilingual/Suffolk County preferred

Primary Location: New York, NY
Additional Locations: NY-New York
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Description:
The Field assessor is responsible for conducting field UAS-NY assessments. Assess the medical needs of the member to facilitate the member’s overall wellness. Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration. Services strategies policies and programs are comprised of network management and clinical coverage policies.

Fundamental Components:

Through the use of clinical tools and information/data review, conducts an evaluation of member's needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. Assessments take into account information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality. Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality. Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management. Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.


Background Experience:
Case Management in an integrated model; Preferred
Bilingual Fluency in Spanish, Russian, Cantonese, or Mandarin Language; Preferred
3+ years clinical practice experience; Required
RN with current unrestricted state licensure; Required
UAS-NY field assessment experience; Required
Resident of Suffolk County; Strong Preference


Additional Job Information:
Typical field 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.. Work requires 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.

Functional Skills:
Nursing - Case Management

Technology Experience:
Desktop Tool - Microsoft Outlook

Education:
Nursing - Registered Nurse

Potential Telework Position:
Yes

Percent of Travel Required:
75 - 100%

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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