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Aetna Inc.

RN - Field Case Manager (Registered Nurse) Milwaikee/Madison area Bi-lingual highly preferred (Spanish)

Aetna Inc. - Madison, WI

This role needs to be located in the Milwaukee/ Madison Wisconsin coverage area.

The field case manager is responsible for assessing and analyzing an injured employee to evaluate the medical and vocational needs required to facilitate the patients appropriate and timely return to work. This role acts as a liaison with patient/family, employer, provider(s), insurance companies, and healthcare personnel.

As a field case manger you will in a consultative & client advocate nursing role requiring the management of a case load of injured workers. This home based, field work position (Field is 75% of the time!) provides challenges in a fast paced environment. You will attend MD appointments with clients and coordinates/ assesses their medical services by interacting with adjusters, physicians, employers, attorneys, and other medical providers.. ultimately seeking return to work and maximum medical improvement.

This role will

requires owning a car and a valid drivers license. In this role you will have

regular local travel (75%!)-work no holidays or weekends. This is a great opportunity to work independently as a consultant with additional opportunity to earn a monthly and quarterly bonus.

Fundamental Components:

You will interview employee's in their homes, work-sites or physician offices to provide ongoing case management services.

You will evaluate employee progress toward desired outcomes through assessment and evaluation.

The field case manager communicate both in person and telephonically with employee, medical providers, attorneys, employers and insurance carriers.

Prepares all required documentation of case work activities.

You will also coordinate referrals to specialists and alternate treatment provides as appropriate.

Registered nurse with current state RN license.

BACKGROUND/EXPERIENCE

At least 7- 10 years of RN experience with strong med-surg clinical background. (ICU preferred)

Must have active good standing RN WI license.

Spanish

Bilingual and/or CCM preferred. Bi-lingual highly preferred!

Prior work comp/case management/ Rehab experience a plus, but not required.

Ability to travel within a designated geographic area for in-person case management activities

Knowledge of laws and regulations governing delivery of rehabilitation services is a plus.

Job-specific technical knowledge, (e.g., knowledge of workers compensation and disability industry for workers compensation case managers or case management). is a plus.

Excellent analytical and problem solving skills

Effective communications, organizational, and interpersonal skills.

Ability to work independently (requires working from home).

Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications.

Effective computer skills including navigating multiple systems and keyboarding

EDUCATION

The highest level of education desired for candidates in this position is a Associate's degree or equivalent experience.

LICENSES AND CERTIFICATIONS

RN is required

Nursing/Medical Surgical-Oncology Nurse is desired

Nursing/Certified Case Manager (CCM) is desired

Nursing/Orthopedics is desired

Medical Management/Occupational - Environmental Medicine is desired

FUNCTIONAL EXPERIENCES

Functional - Clinical / Medical/Direct patient care (hospital, private practice)/7-10 Years

Functional - Nursing/Medical-Surgical Care/1-3 Years

ADDITIONAL JOB INFORMATION

Ideal candidate must have a strong clinical nursing and thrive in a fast paced environment, able to multi-task, demonstrate fluency with computer & organizational skills, and own reliable car with good driving record.

Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

3 days 22 hours ago

Aetna Inc.

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RN - Field Case Manager (Registered Nurse) Milwaikee/Madison area Bi-lingual highly preferred (Spanish) Aetna Inc. - Madison, WI, United States

   

Location: Madison, WI

Company Profile:
Aetna Inc. operates as a diversified health care benefits company in the United States. The company operates in three segments: Health Care, Group Insurance, and Large Case Pensions. The Health Care segment provides medical, pharmacy benefit management, dental, behavioral health, and vision plans on an insured basis, and an employer-funded or administrative basis. This segment also provides Medicare and Medicaid products and services, as well as other medical products, such as medical management and data analytics services, medical stop loss insurance, workers' compensation administrative services, and products that provide access to its provider networks in select markets. This segment offers its products and services to multi-site national, mid-sized, and small employers, as well as individual customers. The Group Insurance segment provides life insurance products comprising group term life insurance, voluntary spouse and dependent term life insurance, group universal life, and accidental death and dismemberment insurance; disability insurance products; and long-term care insurance products, which offer benefits to cover the cost of care in private home settings, adult day care, assisted living, or nursing facilities. This segment provides insurance products principally to employers that sponsor its products for the benefit of their employees and their employees’ dependents. The Large Case Pensions segment manages various retirement products, including pension and annuity products for tax-qualified pension plans. The company’s customers include employer groups, individuals, college students, part-time and hourly workers, health plans, health care providers, governmental units, government-sponsored plans, labor groups, and expatriates. Aetna Inc. was founded in 1853 and is headquartered in Hartford, Connecticut.