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
Field Case Manager (RN)Primary Location: Tulsa, Oklahoma
Additional Locations: OK-Tulsa Apply
Candidates must live in Tulsa, OK or immediate surrounding area.
As a Field Case Manager, you will partner within our Clinical Team in a collaborative process of assessment, planning, and advocacy to meet a members benefit plan and/or health needs in their home, hospital or other community location.
Through the identification of members via analytics tools, member services or self-referrals, and comprehensive assessments of referred member's needs, the Field Case Manager determines an approach to case resolution and/or meeting needs by identifying potential barriers to care and develops an individualized care management plan using a holistic approach to assist members with achieving their identified health goals. Operates across a multi-disciplinary team, inclusive of other specialized clinicians, to overcome barriers to meeting health goals and objectives and ensuring optimal member health is achieved. Consistently presents appropriate cases at Case Management Rounds to obtain multidisciplinary review in order to achieve optimal outcomes.
Identifies and escalates quality of care issues through established channels Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. Knowledge and use of social and community resources to assist members in achieving optimal health are key to the role. This position requires the Case Manager to conduct face to face visits with members enrolled in the case management program.
RN licensure required
5+ years clinical experience required
Ability to travel within a designated geographic area for in-person case management activities
Case management experience highly preferred
Home health/ hospice experience highly preferred
Managed care experience preferred
Excellent analytical and problem solving skills
Experience in using multiple online tools to capture care management plans and activities.
The minimum level of education required for candidates in this position is a Bachelor's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Nursing/Registered Nurse (RN) is required
Nursing/Certified Case Manager (CCM) is desired
Functional - Nursing/Case Management/4+ Years
Full-Time Telework (WAH)
ADDITIONAL JOB INFORMATION
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.
Aetna takes our candidates'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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