|Field Case Manager-Medical CA [Job Id: 27745004_110021540]|
Working At Aetna -- the Value To You
What does it mean to work at Aetna? A lot.Â From programs and benefits that support your financial, physical and emotional health to opportunities to build your knowledge and expand your career, the company makes working here a valuable experience in many ways.
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. Acts as a liaison with patient/family, employer, provider(s), insurance companies, and healthcare personnel.
Assesses and analyzes an injured employees medical and vocational status; develops a plan of care to facilitate the patients appropriate and timely return to work.
Interviews patients in their homes, work-sites, or physicians office to provide ongoing case management services.
Monitors patient progress toward desired outcomes through assessment and evaluation.
Communicates both in-person and telephonically with patient, medical providers, attorneys, employers and insurance carriers; prepares all required documentation of case work activities.
May arrange referrals, consultations and therapeutic services for patients; confers with specialists concerning course of care and treatment.
Develops and administers educational and prevention programs.
Applies all laws and regulations that apply to the provision of rehabilitation services; applies all special instructions required by individual insurance carriers and referral sources.
Testifies as required to substantiate any relevant case work or reports.
Daily travel in the field.
- Minimum 2 years clinical nursing background - Prior case management and workers' compensation experience preferred - Ability to multitask in a fast paced work environment - Strong computer skills with experience in Microsoft Office Products, including Word, Outlook, and Excel - Excellent communication skills (written and verbal) with ability to work automated files and use smart phone
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Nursing/Registered Nurse (RN) is required in CA
Nursing/Certified Case Manager (CCM) is desired
Functional - Nursing/Case Management/1-3 Years
Full Time Telework WAH with local travel out in the field. Candidate needs to reside in the Los Angeles area preferably near the 605 Freeway corridor.
ADDITIONAL JOB INFORMATION
High initiative, challenging position that utilizes critical thinking and effective communication skills while working with injured workers, employers, claims examiners, attorneys, and treatment providers to improve patient outcomes. Evaluates injured workers' medical and vocational needs to develop a specialized plan of care that promotes successful return to work while assisting in the coordination of therapeutic services. Monitors injured workers' progress toward desired outcomes in a variety of environments, including the home, work site, and physician office settings. Opportunity to make a positive impact in an injured workers situation. Position offers full Aetna benefits.
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.
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