Aetna Careers Remote Registered Nurse – CA

Job Responsibilities: Case Manager RN

Salary: $30-40/Hour

Company: Aetna

Location: Tennessee, USA

Educational Requirements: Associate Degree

Full Job Description:-

Bring your heart to CVS Health. Everyone folks at CVS Health stock a single, clean reason: Bringing our coronary heart to each second of your fitness. This reason publications our dedication to supplying improved human-centric fitness take care of a swiftly converting world. Anchored in our brand — with coronary heart at its center — our reason sends a private message that how we supply our offerings is simply as crucial as what we supply. Aetna Careers Remote Registered Nurse

Our Heart At Work Behaviors™ aid this reason. We need anyone who works at CVS Health to feel empowered with the aid of using the function they play in remodeling our subculture and accelerating our capacity to innovate and supply answers to make fitness care extra private, handy and affordable.

Position Summary

This is a full-time telework function regarding much less than 10% tour.

The hours for this function are Monday-Friday 8:00a-5:00p EST. Aetna Careers Remote Registered Nurse

Help us raise our affected person care to an entire new level! Join our Community Care crew as an enterprise chief in serving our contributors with the aid of using utilising pleasant-in-magnificence running and medical models. You will have life-converting effect on our Community Care contributors. Community Care is a member centric, crew-delivered, network-primarily based totally care control version that joins contributors in which they are. With compassionate interest and super verbal exchange, we collaborate with contributors, providers, and network corporations to cope with the total continuum of our contributors’ fitness care and social determinant desires. Join us on this interesting possibility as we develop and extend to alternate lives in new markets throughout the country. Aetna Careers Remote Registered Nurse

Position Summary/Mission:

Community Care Case Manager use a collaborative system of evaluation, making plans, facilitation, care coordination, assessment, and advocacy for alternatives and offerings to fulfill an character’s and family’s complete fitness desires via verbal exchange and to be had sources to sell quality, value powerful consequences.

Fundamental Components & Physical Requirements:

Acts as a liaison with member/consumer /family, employer, provider(s), coverage companies, and healthcare employees as suitable.
Implements and coordinates all case control sports referring to catastrophic instances and chronically unwell contributors/customers throughout the continuum of care that could encompass representative referrals, domestic care visits, the usage of network sources, and opportunity tiers of care.
Interacts with contributors/customers telephonically or in character. May be required to fulfill with contributors/customers of their homes, worksites, or doctor’s workplace to offer ongoing case control offerings. Aetna Careers Remote Registered Nurse
Assesses and analyzes injured, acute, or chronically unwell contributors/customers scientific and/or vocational status; develops a plan of care to facilitate the member/consumer’s suitable circumstance control to optimize well-being and scientific consequences, resource well timed go back to work or most beneficial functioning, and resolution of eligibility for blessings as suitable.
Communicates with member/consumer and different stakeholders as suitable (e.g., scientific providers, attorneys, employers and coverage providers) telephonically or in character.
Prepares all required documentation of case work sports as suitable.
Interacts and consults with inner multidisciplinary crew as indicated to assist member/consumer maximize pleasant fitness consequences.
May make outreach to treating doctor or professionals regarding direction of care and remedy as suitable.
Provides academic and prevention statistics for pleasant scientific consequences.
Applies all legal guidelines and policies that observe to the supply of rehabilitation offerings; applies all unique commands required with the aid of using character coverage providers and referral sources.
Testifies as required to confirm any applicable case work or reports.
Conducts an assessment of contributors/customers’ desires and advantage plan eligibility and enables integrative features the usage of medical gear and statistics/data.
Utilizes case control techniques in compliance with regulatory and business enterprise rules and procedures.
Facilitates suitable circumstance control, optimize standard well-being and scientific consequences, suitable and well timed go back to baseline, and most beneficial feature or go back to work.
Develops a proactive direction of movement to cope with troubles supplied to decorate the fast and long-time period consequences, in addition to possibilities to decorate a member’s/consumer’s standard well-being via integration. Aetna Careers Remote Registered Nurse
Monitors member/consumer development towards preferred consequences via evaluation and assessment.

Required Qualifications

3+ years medical sensible experience preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare contributors.
Must own energetic and unrestricted RN licensure withinside the country of NY
Ability to now and again tour inside a delegated geographic location for in-character case control sports as directed with the aid of using Leadership and/or as enterprise desires arise. Reliable transportation required. Mileage is reimbursed in keeping with our business enterprise rate compensation policy
1+ year(s) of experience with Microsoft Office applications (MS Word, Excel, Outlook and PowerPoint), Aetna Careers Remote Registered Nurse

Preferred Qualifications

Minimum 2+ years CM, discharge making plans and/or domestic fitness care coordination experience
Certified Case Manager is preferred.
Excellent analytical and problem-fixing abilities
Effective communications, organizational, and interpersonal abilities.
Efficient and Effective pc abilities together with navigating a couple of structures and keyboarding
Additional countrywide expert certification (CRC, CDMS, CRRN, COHN, or CCM) is preferred, however now no longer required

Education

Associates diploma minimum, Aetna Careers Remote Registered Nurse

Pay Range

The common pay variety for this function is:

$20.00 – $30.00

This pay variety represents the bottom hourly fee or base annual complete-time earnings for all positions within the task grade inside which this function falls. The real base earnings provide will rely upon a selection of things such as experience, schooling, geography and different applicable factors. Aetna Careers Remote Registered Nurse

In addition to your reimbursement, experience the rewards of an employer that places our coronary heart into worrying for our colleagues and our communities. The Company provides a complete variety of medical, dental, and imaginative and prescient benefits. Eligible personnel can also additionally sign up inside the Company’s 401(k) retirement financial savings plan, and an Employee Stock Purchase Plan is likewise to be had for eligible personnel. The Company offers a fully-paid period existence coverage plan to eligible personnel, and short-time period and long-time incapacity benefits. CVS Health additionally gives several health applications, schooling assistance, loose improvement courses, a CVS save cut price, and cut-price applications with collaborating companions. As for break days, Company personnel experience Paid Time Off (“PTO”) or holiday pay, in addition to paid vacations at some stage in the calendar year. Several paid vacations, ill time and different break days are furnished steadily with applicable country regulations and Company rules. Aetna Careers Remote Registered Nurse

About Aetna

Aetna, a CVS Health Company, is an enterprise-leading, assorted fitness answers agency with more than one hundred sixty-five years of experience offering innovative, first-rate benefits, services and products to businesses, individuals, employers, fitness care professionals, producers, authorities and others. Our large variety of offerings consists of medical, dental, vision, pharmacy, scholar fitness, voluntary, Medicare, Medicaid and different consumer-directed fitness care benefits.

Aetna Careers Remote Registered Nurse

While the specific rules and responsibilities of companies in the United States can vary depending on factors such as industry, size, and location, there are some common rules and responsibilities that many companies adhere to. Here are a few examples:

Compliance with labor laws: Companies in the United States are required to comply with various labor laws, such as the Fair Labor Standards Act (FLSA), which establishes minimum wage, overtime pay, and child labor standards. They must also adhere to laws related to workplace safety and health, including the Occupational Safety and Health Act (OSHA).
Equal employment opportunity: Companies are expected to provide equal employment opportunities to all individuals, regardless of their race, color, religion, sex, national origin, age, disability, or genetic information. This includes complying with laws such as Title VII of the Civil Rights Act of 1964 and the Americans with Disabilities Act (ADA).
Payroll and tax obligations: Companies are responsible for properly handling payroll, including calculating and withholding taxes from employees’ wages, and submitting the required tax payments to federal, state, and local tax authorities. They must also provide employees with necessary tax forms, such as W-2s.
Workplace safety and security: Companies must provide a safe and secure work environment for their employees. This includes implementing safety protocols, providing necessary safety training, maintaining equipment and facilities, and addressing potential hazards.
Non-discrimination and harassment policies: Many companies have policies in place to prevent discrimination and harassment in the workplace. These policies often include procedures for reporting and addressing complaints, as well as consequences for violators.
Privacy and data protection: Companies are expected to handle the personal and sensitive information of their employees and customers responsibly. This may involve implementing measures to protect data privacy, complying with applicable data protection laws, and informing individuals about the collection, use, and storage of their personal information.
Ethical conduct and corporate social responsibility: Companies are encouraged to conduct their business ethically and responsibly. This may include promoting fair trade practices, adhering to environmental regulations, supporting social causes, and practicing transparency in their operations.

Aetna Careers Remote Registered Nurse – CA