Aetna Clinical Care Manager in Fairfield, New Jersey
Req ID: 35789BR
The Clinical Care Manager is a NJ licensed Registered Nurse who will perform various computer-based assessments on LTSS members, and provide care management and care coordination in order to meet that member's needs. She or he will manage the field work and office documentation and authorizations from the home office.
Nurse care manager who enjoys meeting members where they live, to assess needs and provide services to meet those needs. Manage weighted caseload of under 120 members who meet Nursing Facility Level of Care. Management includes completion of NJ Choice assessment and Personal Care Assistant assessment, additional computer documentation, and authorization of specific services to help members remain in the community as long as possible. Work with a supportive team in CMs general geographical area, and with transportation reimbursement.
NJ licensed RN required
Certification in NJ Choice assessment preferred
3-5 years clinical practice experience, e.g., hospital setting, alternative care setting such as home health, PCA agency, or NJ DMAHS or MCO Care Management background.
Case management and discharge planning experience preferred
Managed Care experience preferred
Crisis intervention skills preferred
The highest level of education desired for candidates in this position is a Associate's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Nursing/Registered Nurse is required
Full-Time Telework (WAH) following 3-4 week orientation in Princeton office. Once or twice monthly in office requirements for meetings.
ADDITIONAL JOB INFORMATION
Work with a supportive group of colleagues and supervisors who provide clinical and system guidance, share resources and advice, and work as a team to meet the needs of our members.
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.
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
Job Function: Health Care