Registered Nurse (RN) - Remote Clinical Care Manager
Aetna - Bismarck, ND

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These positions are with American Health Holding, and they are work at home/telework/telecommute Case Manager positions. Prefer candidates with managed care/insurance experience paired with clinical experience from a hospital. Prefer someone with an Oncology, Rehab, Transplant, Maternity, or Pediatrics background. See below for required skills.POSITION SUMMARYUtilizes advanced clinical judgment and critical thinking skills to facilitate appropriate physical and behavioral healthcare and social services for members through assessment and member-centered care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services to promote effective utilization of available resources, optimal member functioning, and cost-effective outcomes.EDUCATIONThe highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.LICENSES AND CERTIFICATIONSNursing/Certified Case Manager (CCM) is requiredNursing/Registered Nurse (RN) is requiredREQUIRED FUNCTIONAL EXPERIENCESNursing/Case Management/Home Health/1-3 YearsNursing/Medical/Surgical/Clinical/5-8 YearsNursing/Disease Management/1-3 YearsTECHNOLOGY EXPERIENCESTechnical - Desktop Tools/TE Microsoft Excel/1-3 YearsTechnical - Desktop Tools/Microsoft Word/1-3 YearsAetna does not permit the use of tobacco related products or drugs in the workplace.

Job Function: Health Care

Aetna - 20 months ago - save job - copy to clipboard
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Aetna is about more than just doing a job. This is our opportunity to re-shape health care for America and across the globe. We are...