TrentonRecruiter Since 2001
the smart solution for Trenton jobs

Registered Nurse

Company: Aetna
Location: Trenton
Posted on: September 16, 2020

Job Description:

Req ID: 72562BRJob DescriptionNurse 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 member's 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 member's overall wellness through integration. Services strategies policies and programs are comprised of network management and clinical coverage policies.Fundamental Components included but are not limited to:Through the use of clinical tools and information/data review, conducts an evaluation of member's needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. Assessments take into account information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality. Reviews prior claims to address potential impact on current case management and eligibility. Assessments include the member's level of work capacity and related restrictions/limitations. Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality. Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management. Utilizes case management processes in compliance with regulatory and company policies and procedures. Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.Qualifications Requirements and Preferences:3+ years clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care requiredActive and Unrestricted RN license in NJ requiredMust be comfortable completing Field based travel to meet with Members; 50- 75% travel requiredCase management and/or discharge planning experience preferredManaged Care experience preferredCrisis intervention skills preferredAdditional Job Information:Typical office working environment with productivity and quality expectationsWork requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer.Ability to multitask, prioritize and effectively adapt to a fast paced changing environmentPosition requires proficiency with computer skills which includes navigating multiple systems and keyboardingEffective communication skills, both verbal and written.Benefit EligibilityBenefit eligibility may vary by position.Job Function: HealthcareAetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.

Keywords: Aetna, Trenton , Registered Nurse, Healthcare , Trenton, New Jersey

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Healthcare Jobs


ICU - RN - Travel (Westport)
Description: Job Description:Travel Registered Nurses Needed All RN SpecialtiesHospitals are posting their seasonal staffing needs as well as their critical vacancies.HealthCareTravelers.com is owned and operated (more...)
Company: HealthCare Traveler Jobs
Location: Westport
Posted on: 09/20/2020

Labor & Delivery - L&D RN - Travel (Westport)
Description: Job Description:Travel Registered Nurses Needed All RN SpecialtiesHospitals are posting their seasonal staffing needs as well as their critical vacancies.HealthCareTravelers.com is owned and operated (more...)
Company: HealthCare Traveler Jobs
Location: Westport
Posted on: 09/20/2020

MD/DO Pathologist (410909)
Description: JOB CODE: 410909 MD/DO Pathologist LOCATION: Berks County PA Join a thriving and growing regional integrated hospital system in Southeastern Pennsylvania with a rich history of providing high-quality, (more...)
Company: Veritas Global Consulting Group, LLC
Location: Lancaster
Posted on: 09/20/2020


Intensive Care Unit - ICU RN - Travel - in Connecticut (Westport)
Description: Job Description:Travel Registered Nurses Needed All RN SpecialtiesHospitals are posting their seasonal staffing needs as well as their critical vacancies.HealthCareTravelers.com is owned and operated (more...)
Company: HealthCare Traveler Jobs
Location: Westport
Posted on: 09/20/2020

Psychiatry in PA - Psychiatrist - New Opportunity in Southern Pennsylv
Description: We have a new opportunity for a psychiatrist to practice in southern Pennsylvania, just under an hour and half from Philadelphia. You'll
Company: Global Medical Staffing
Location: Lancaster
Posted on: 09/20/2020

Hiring CNA Nurse Aide - Great Pay, ALL Shifts Open!
Description: Join a Certified Nursing Assistant CNA team that gives you the schedule freedom you ve been searching for We do things a little differently
Company: ShiftMed
Location: Levittown
Posted on: 09/20/2020

Registered Nurse
Description: Home Care RN Needed in Fairfield--County CT Certified as a Great Place to Work For 2018 and 2019 and One of the Top 25 Places to Work For in Healthcare This is your chance to join
Company: K.A. Recruiting
Location: Westport
Posted on: 09/20/2020

Registered Nurse
Description: HCR ManorCare provides a range of services, including skilled nursing care, assisted living, post-acute medical and rehabilitation care, hospice care, home health care and rehabilitation therapy.The RN (more...)
Company: ProMedica Health System
Location: Lancaster
Posted on: 09/20/2020

ICU - RN - Travel (Levittown)
Description: Job Description:Travel Registered Nurses Needed All RN SpecialtiesHospitals are posting their seasonal staffing needs as well as their critical vacancies.HealthCareTravelers.com is owned and operated (more...)
Company: HealthCare Traveler Jobs
Location: Levittown
Posted on: 09/20/2020

Part Time or Full Time Family Practice with OB Opportunity in the Lancaster, PA Area
Description: Family Practice-With OB opening in Lancaster, Pennsylvania. This and other physician jobs brought to you by DocCafe.com Join a large Family
Company: Integrity Healthcare
Location: Lancaster
Posted on: 09/20/2020

Log In or Create An Account

Get the latest New Jersey jobs by following @recnetNJ on Twitter!

Trenton RSS job feeds