Experienced Registered Nurse Case Manager – Remote Opportunity with Aetna

Transforming Healthcare through Compassionate Case Management At CVS Health, we're driven by a singular purpose: bringing our heart to every moment of your health. As a leading healthcare organization, we're committed to delivering improved, human-driven healthcare services that make a meaningful difference in people's lives. We're seeking an experienced Registered Nurse (RN) Case Manager to join our team at Aetna, where you'll play a vital role in enhancing the health and wellbeing of our members. Job Highlights

• Competitive Compensation: Earn a salary ranging from $20 to $30 per hour
• Remote Work Opportunity: Work from the comfort of your own home as a remote RN Case Manager
• Immediate Openings: Start your new role today and make a positive impact on our members' lives
• Professional Growth: Develop your skills and expertise in a dynamic and supportive environment

About the Role

As an RN Case Manager at Aetna, you'll be responsible for telephonically or potentially in-person surveying, arranging, executing, and planning all case management activities with members to assess their clinical needs and facilitate their overall health. Your proactive approach will help resolve issues, improve short and long-term outcomes, and identify opportunities to enhance our members' wellbeing.

Key Responsibilities

• Develop and implement a proactive strategy to resolve issues and improve member outcomes
• Conduct comprehensive assessments of members' needs and benefit plan eligibility using clinical tools and data/information review
• Apply clinical judgment to integrate strategies that reduce risk factors and barriers, addressing complex health and social determinants that impact care planning and issue resolution
• Evaluate data from multiple sources to address all conditions, including co-morbid and multiple diagnoses that affect functionality
• Review prior cases to address potential impact on current case management and eligibility
• Assess members' level of work capacity and related limitations/abilities
• Utilize a comprehensive approach to evaluate the need for referrals to clinical resources to support functionality
• Collaborate with managers and others to overcome barriers in meeting goals and objectives, presenting cases at multidisciplinary case meetings to support overall case management
• Use case management processes in compliance with regulatory and organizational policies and procedures
• Employ strong interviewing skills to ensure maximum member engagement and understanding of their health status and needs

Essential Qualifications

To succeed in this role, you'll need:

• A current and unrestricted RN licensure in your state of residence
• Willingness and ability to obtain additional state licenses upon hire (paid for by the organization)
• 3+ years of acute hospital clinical experience as an RN (general medical, post-surgical, ICU experience)

Preferred Qualifications

• 3+ years of case management experience
• Compact RN licensure
• Certified Case Manager (CCM) certification
• Proficiency in a variety of Microsoft Office applications, including PowerPoint, Excel, and Word
• Strong telephonic communication skills

About CVS Health At CVS Health, we're dedicated to delivering innovative, human-driven healthcare services that make a positive impact on people's lives. Our Heart At Work Behaviors guide our actions and decisions, ensuring that we provide personalized, convenient, and affordable healthcare solutions. We're committed to promoting a culture of diversity, inclusion, and belonging, and we're proud to be an equal opportunity employer. Career Growth and Development As an RN Case Manager at Aetna, you'll have opportunities to develop your skills and expertise in a dynamic and supportive environment. You'll work alongside experienced professionals who are passionate about delivering high-quality care and services to our members. Our comprehensive training programs and ongoing support will help you grow and succeed in your role. Work Environment and Culture As a remote RN Case Manager, you'll work from the comfort of your own home, with the flexibility to manage your work schedule and maintain a healthy work-life balance. Our culture is built on a foundation of empathy, compassion, and respect, and we're committed to supporting the wellbeing and success of our employees.

Compensation and Benefits

We offer a competitive salary and benefits package that reflects our commitment to attracting and retaining top talent. Our benefits include:

• Comprehensive health insurance
• Retirement savings plan
• Paid time off and holidays
• Opportunities for professional growth and development

Join Our Team If you're a compassionate and experienced RN looking for a new challenge, we encourage you to apply for this exciting opportunity. As an RN Case Manager at Aetna, you'll play a vital role in enhancing the health and wellbeing of our members, and you'll have the opportunity to grow and develop in a dynamic and supportive environment. Apply now and take the first step towards a rewarding new role! Submit Your Application Seize this opportunity to make a significant impact. Apply now and take the first step towards a rewarding new role. Apply To This Job Apply This Job Apply tot his job Apply To this Job