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Case Manager (RN)

Company: Aetna
Location: High Point
Posted on: August 11, 2019

Job Description:

Description: This role is based in the High Point, NC office. Are you ready to expand your nursing skills, while aiding in the reduction of hospital readmissions and helping patients get back to their daily life faster? How about dipping your toes into population health nursing and impacting the lives of patients and their families, with no limitation on how long it may take to help that member meet their desired health goals? We are looking for full-time RNs to join our team, in the role of Telephonic Case Manager. RN Case Managers will guide members telephonically in defining their health goals and taking appropriate steps to achieve their optimal state of wellness. 61422 Fundamental Components: -All activities completed telephonically with the member -Case Manager will work with members currently in an acute illness, such as a hospitalization to facilitate discharge to the next appropriate level of care while addressing any chronic conditions. -Alternatively, Case Managers will work with members at-risk for experiencing . Goals for this type of member focuses on ensuring our members are referred to the appropriate providers to ensure conditions are actively being treated. -Case Manager will assess the medical, psychosocial and social determinants of health for the member, as well as their family and caregiver. -Working with the member, the CM will assist the member in developing appropriate and realistic health goals, including activities -Case Managers have multiple resources to utilize to assist in meeting the goals, such as Registered Dietitians, Social Workers, Medical Directors, Pharmacists and more. -Position is 100% office based and the position utilizes the telephone and computer almost exclusively. Typing is a necessary skill. -The hours are Monday - Friday with no weekends and paid holidays. - The office is located at 4050 Piedmont Parkway, High Point, NC. Position is within commutable distance to High Point, Greensboro, Winston-Salem and Burlington Background Experience: -Must have an active and unrestricted RN license -Minimum of 2 years of clinical experience as an RN -All clinical experience will be considered, such as Emergency Department, Home Health, Hospice, Operating Room, ICU, NICU, Telemetry, Medical / Surgical, Orthopedics, Long Term Care and Infusion nursing. -Strong telephonic communication skills Additional Job Information: In this role, you will have the ability to see to it that your members get to their follow up appointments, fill those discharge medications and ideally get back to work and prevent hospital readmissions. This role provides continuity of care, in that the CM will be assigned to their particular members as long as the member remains on our medical plan. Walking along the healthcare journey with your member, you will be able to see positive behavior changes. Education: Nursing - Registered Nurse (RN) Percent of Travel Required: N/A 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.

Keywords: Aetna, High Point , Case Manager (RN), Executive , High Point, North Carolina

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