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Case Manager RN

Company: Aetna Inc.
Location: High Point
Posted on: June 10, 2021

Job Description:

Job Description

External applicants must reside within a commutable distance to High Point, NC. Once COVID restrictions are lifted, position may require working in the High Point office.

Internal employees may remain working from home.

Standard business hours Monday-Friday with occasional late shift 2-3 times a quarter until 11pm EST.

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.

  • 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 (no weekends).
  • The office is located at 4050 Piedmont Parkway, High Point, NC. Position is within commutable distance to High Point, Greensboro, Winston-Salem and Burlington!

Required Qualifications

  • 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
  • Multiple State RN licensure is welcomed but not required. Chosen must be able to obtain multiple state RN licensure after hire (expenses paid for by company).

Preferred Qualifications

  • BSN
  • 2 years experience with Telephonic Case Management
  • Experience with all types of Microsoft Office including PowerPoint, Excel and Word


Associates Degree or equivalent experience

Business Overview

At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

Keywords: Aetna Inc., High Point , Case Manager RN, Other , High Point, North Carolina

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