Are you a compassionate and driven Registered Nurse looking for a new opportunity to make a positive impact on the health and well-being of individuals in the Two Rivers Region of Kentucky? Aetna is seeking a dedicated and experienced Case Manager RN to join our team and provide personalized care and support to our members. In this role, you will utilize your clinical expertise and strong communication skills to coordinate and manage the care of our members, ensuring their needs are met and their health goals are achieved. If you are passionate about improving the lives of others and possess the required qualifications, we invite you to apply for this rewarding position.
- Conduct comprehensive assessments of members' health and healthcare needs
- Develop individualized care plans based on members' needs, goals, and preferences
- Collaborate with healthcare providers and other members of the care team to ensure coordinated and effective care
- Monitor and evaluate members' progress towards achieving their health goals
- Identify and address any barriers to care, such as social determinants of health or access to resources
- Educate members on their health conditions, treatment options, and self-management strategies
- Serve as an advocate for members, ensuring their voices are heard and their needs are met
- Document all care management activities and maintain accurate and up-to-date records
- Adhere to all regulatory and compliance requirements related to case management
- Continuously seek opportunities for improvement and implement best practices to enhance the quality of care provided to members
- Collaborate with other healthcare professionals and community resources to promote wellness and prevent hospital readmissions
- Communicate effectively with members, their families, and healthcare providers to facilitate seamless care transitions and improve health outcomes.
Active Rn License In The State Of Kentucky: A Case Manager Rn At Aetna Must Hold A Current And Unrestricted Rn License In The State Of Kentucky. This Ensures That The Individual Is Qualified To Practice As A Registered Nurse And Is Knowledgeable About State-Specific Regulations.
Minimum Of 2 Years Clinical Experience: Aetna Requires A Minimum Of 2 Years Of Clinical Experience As An Rn For This Position. This Ensures That The Candidate Has A Strong Foundation In Nursing Practice And Is Able To Provide Effective Care Management For Patients.
Case Management Certification: Aetna Prefers Candidates Who Have Completed A Case Management Certification Program, Such As The Certified Case Manager (Ccm) Credential. This Demonstrates A Thorough Understanding Of Case Management Principles And Best Practices.
Strong Communication And Interpersonal Skills: As A Case Manager Rn, The Individual Will Be Working Closely With Patients, Healthcare Providers, And Insurance Representatives. Strong Communication And Interpersonal Skills Are Essential For Building Relationships And Facilitating Effective Care Coordination.
Knowledge Of Medicare And Medicaid Regulations: Aetna Serves Patients With Both Medicare And Medicaid Coverage, So A Thorough Understanding Of These Programs Is Necessary For This Role. Previous Experience Working With These Insurance Programs Is Preferred.
Communication
Time Management
Treatment planning
Resource management
Team collaboration
Problem-Solving
advocacy
Patient assessment
Cultural Competence
Case documentation
Patient education
Care Coordination
Communication
Customer Service
Emotional Intelligence
Leadership
Time management
creativity
Teamwork
Adaptability
Problem-Solving
Decision-making
According to JobzMall, the average salary range for a Case Manager RN - Two Rivers Region KY is $63,000 - $72,000 per year. This can vary depending on the specific job duties, experience level, and location. Some case managers may also receive additional benefits such as bonuses or insurance coverage.
Apply with Video Cover Letter Add a warm greeting to your application and stand out!
Aetna Inc. is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit programs, and through Medicare. Since November 28, 2018, the company has been a subsidiary of CVS Health.
Get interviewed today!
JobzMall is the world‘ s largest video talent marketplace.It‘s ultrafast, fun, and human.
Get Started