Welcome to Aetna, where we are dedicated to helping individuals and families achieve their best health. We are currently looking for a compassionate and experienced Case Manager RN to join our team. As a Case Manager, you will play a crucial role in coordinating and managing the care of our members, ensuring they receive the best possible care. With your passion for helping others and your strong clinical background, you will have the opportunity to make a real difference in the lives of our members. Join us in our mission to build a healthier world, and let's make a positive impact together.
- Coordinate and manage the care of Aetna members, ensuring they receive high-quality, appropriate and timely medical care.
- Utilize your strong clinical background to assess and evaluate members' medical needs and develop individualized care plans.
- Collaborate with healthcare providers and other members of the medical team to ensure coordinated and comprehensive care.
- Serve as the primary point of contact for members and their families, providing support, guidance and education throughout their healthcare journey.
- Monitor and track members' progress and outcomes, making necessary adjustments to care plans as needed.
- Advocate for members and help them navigate the healthcare system to access the resources and services they need.
- Maintain accurate and detailed documentation of all interactions and interventions with members.
- Stay up-to-date on industry trends and best practices in case management to continuously improve the quality of care provided.
- Demonstrate compassion, empathy and understanding towards members and their families during difficult and challenging situations.
- Collaborate with other members of the Aetna team to ensure a seamless and positive experience for members.
Active Rn License: The Case Manager Rn Must Possess A Current, Unrestricted Rn License In The State Where They Will Be Practicing. This Demonstrates Their Clinical Knowledge And Ability To Provide Quality Care.
Bachelor's Degree In Nursing: Aetna Requires A Minimum Of A Bachelor's Degree In Nursing For Their Case Managers. This Higher Level Of Education Ensures A Strong Foundation In Nursing Principles And Skills.
Case Management Certification: Aetna Prefers Candidates Who Hold A Case Management Certification, Such As The Certified Case Manager (Ccm) Or Certified Professional In Healthcare Management (Cphm). This Certification Demonstrates A Commitment To The Field And A Specialized Knowledge Of Case Management.
Prior Case Management Experience: Aetna Looks For Candidates With At Least 2-3 Years Of Experience In Case Management, Preferably In A Healthcare Setting. This Shows That The Candidate Has A Solid Understanding Of The Role And Can Handle The Responsibilities Of A Case Manager Rn.
Strong Communication And Organizational Skills: As A Case Manager Rn, The Candidate Will Be Responsible For Coordinating Care For Multiple Patients And Communicating With Various Healthcare Professionals. Aetna Values Candidates Who Possess Excellent Communication And Organizational Skills To Effectively Manage These Responsibilities.
Documentation
Communication
Time Management
Treatment planning
Collaboration
Resource management
Cultural competency
Problem-Solving
Assessment skills
Patient Advocacy
Patient education
Care Coordination
Communication
Conflict Resolution
Emotional Intelligence
Leadership
Time management
creativity
Critical thinking
Teamwork
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Case Manager RN in Texas, USA is $63,000 to $85,000 per year. This may vary depending on years of experience, location, and specific employer.
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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.
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