Aetna jobs

Bilingual RN Case Manager Russian Preferred

Req ID: 59530BR Job Description Nurse Case Manager is responsible for telephonically assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member. Fundamental Components included but are not limited to: 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 program...

Case Manager RN

Job DescriptionRegistered Nurse experience in field of case management with history in the field of managed care, or insurance preferred in addition to 5 years clinical background as an RN required. Prefer candidates have a specialty background in Behavioral Health or Transplant as well as CCM and/or other URAC recognized certification. This position consists of working intensely as a case manager telephonically with patients and their care team for fully and/or self-funded clients.This is a ...

Case Manager RN – Chesapeake/Virginia Beach

Req ID: 61856BR Job Description Nurse Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing and coordinating all case management activities with members to evaluate 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 str...

Field Case Mgr-Medical

Job DescriptionJOIN OUR GROWING TEAMAre you tired of bedside nursing?Are you looking to get away from 12-hour hospital shifts while continuing to utilize your RN expertise to impact the lives of patients in your local community?We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Registered Nurses to join our Workers' Compensation Field Case Management team. This opportunity offers a competitive salary, full benefits, and a performance-based bonus paid out o...

Case Manager RN – Cook County

Req ID: 61501BRJob DescriptionThis field-based position utilizes critical thinking and judgment to collaborate and inform the case management process in order to assist in facilitating appropriate healthcare outcomes for members. The position provides nursing consult, recommendations, support and education for members transitioning from skilled nursing care into the community through the use of care management tools and resources.Fundamental Components included but are not limited to:Outreach...

Field Case Mgr-Medical

Job DescriptionFull time telework opportunity open to candidates in the San Francisco, CA area. 25-50% travel for face to face visits is involved.The Case Manager uses a collaborative process of assessment, planning,facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality, cost effective outcomes. Associated topics: case manager, case manag...

RN Clinical Case Manager

Req ID: 62260BR Job Description The Clinical Care Manager utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate physical and behavioral healthcare and social services for members through assessment and member-centered care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services to promote effective utilization of available resources, optimal member functioning, and cost-effective outcomes. Please note that...

Workers Compensation RN Field Case Manager Registered Nurse

Req ID: 61408BR Job Description JOIN OUR GROWING TEAM Are you tired of bedside nursing? Are you looking to get away from 12-hour hospital shifts while continuing to utilize your RN expertise to impact the lives of patients in your local community? We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Registered Nurses to join our Workers Compensation Field Case Management team. This opportunity offers a competitive salary, full benefits, and a performance-...

Field Case Mgr-Medical

Job DescriptionCandidates must be located in one of the following areas of NC due to local travel involved: Cary, Durham, or Raleigh.Aetna Case Management is a member centric, team-delivered, community based care management model that joins members where they are. The Field Case Manager works collaboratively with an interdisciplinary team in the process of assessment, planning, facilitation, care coordination, evaluation, and advocacy. The Field Case Manager connects members to the resources ...

Registered Nurse (RN) Case Manager – Full-Time Telework

Req ID: 59114BRJob DescriptionPOSITION SUMMARYRegistered Nurse experience in field of case management with history in the field of managed care, or insurance preferred in addition to 5 years clinical background as an RN. Prefer candidates have a specialty background of Transplant or Behavioral Health as well as CCM and/or other URAC recognized certification. This position consists of working intensely as a case manager telephonically with patients and their care team for fully and/or self-fun...

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