Job Description
Job Description
Candidates must reside within D.C. or surrounding areas.
This role is Monday- Friday 8:00am- 4:30pm EST
Nurse Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the members overall wellness. Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a members overall wellness through integration. Services strategies policies and programs are comprised of network management and clinical coverage policies.
Required Qualifications
-3+ years clinical practice experience required
-RN with current unrestricted state licensure required
-Ability to obtain multi-state licensure required upon hire (company paid)
-Strong computer skills required
Preferred Qualifications
-CCM preferred but not required
-Case Management in an integrated model preferred
-Discharge Planning experience preferred
-Managed care experience preferred
Education
Associate's Degree or equivalent
Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
Candidates must reside within D.C. or surrounding areas.
This role is Monday- Friday 8:00am- 4:30pm EST
Nurse Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the members overall wellness. Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a members overall wellness through integration. Services strategies policies and programs are comprised of network management and clinical coverage policies.
Required Qualifications
-3+ years clinical practice experience required
-RN with current unrestricted state licensure required
-Ability to obtain multi-state licensure required upon hire (company paid)
-Strong computer skills required
Preferred Qualifications
-CCM preferred but not required
-Case Management in an integrated model preferred
-Discharge Planning experience preferred
-Managed care experience preferred
Education
Associate's Degree or equivalent
Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
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