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Aetna is now a CVS Health Company

RN Field Assessor

Primary Location: Princeton, NJ
Additional Locations: NJ-Bergen County, NJ-Essex County, NJ-Middlesex County, NJ-Morris County, NJ-Passaic County, NJ-Princeton
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Description:
This is a full time RN Assessor who will conduct face to face visits to Aetna Members and completes needs assessments for personal care assistance services, Adult and pediatric medical day care services, and MLTSS clinical eligibility.

This position requires nursing clinical judgment, travel, In office training, and work at home computer data entry.

Fundamental Components:
Position will require travel in Northern NJ and a training period working out of the Princeton office. Applicants must be comfortable traveling to both.

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. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. Assessments take into account information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality. Reviews prior claims to address potential impact on current case management and eligibility. Assessments include the member’s level of work capacity and related restrictions/limitations. 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 case management processes in compliance with regulatory and company policies and procedures. Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.

Background Experience:

2 + years clinical practice experience; Required
Knowledge of electronic health documentation and MS office products; Required
RN License in NJ active and unrestricted; Required

Experience in care management, discharge planning, and/or clinical assessments; Preferred
Bilingual Spanish Fluency; Preferred
Residency in Bergen, Passaic, Morris or Essex Counties; Preferred

Ability to travel to members homes in assigned counties to conduct assessments; Required
Ability to Train in Princeton office for approximately up to 6+ weeks; Required



Additional Job Information:
Typical office working environment with productivity and quality expectationsWork 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 environmentPosition requires proficiency with computer skills which includes navigating multiple systems and keyboardingEffective communication skills, both verbal and written.

Functional Skills:
Nursing - Case Management

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

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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