Aug 16, 2019
Aetna Description: JOIN OUR GROWING TEAM Are you tired of bedside nursing? Are you looking to get away from 12-hour hospital shifts while continuing to utilize your RN expertise to impact the lives of patients in your local community? We are seeking self-motivated,energetic, detail oriented, highly organized, tech-savvy Registered Nurses to join our Workers' Compensation Field Case Management team. This opportunity offers a competitive salary, full benefits, and a performance-based bonus paid out on a monthly or quarterly basis. Our organization promotes autonomy through a Monday-Friday working schedule, paid holidays, and flexibility as you coordinate the care of your members. POSITION SUMMARY Provide medical and vocational case management services for workers' compensation inured workers and insurance customers. This is performed in accordance with MN Department of Labor QRC licensure and Rules. 63305 Fundamental Components: This position if for a registered QRC, performing full field case management services in the worker's compensation arena. Acts as liaison with member/client /family, employer, provider(s), insurance companies, and healthcare personnel as appropriate. Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care. Interacts with members/clients telephonically or in person. May be required to meet with members/clients in their homes, work-sites, or physician's office to provide ongoing case management services. Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client's appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate. Communicates with member/client and other stakeholders as appropriate (e.g., medical providers, attorneys, employers and insurance carriers) telephonically or in person. Prepares all required documentation of case work activities as appropriate. Interacts and consults with internal multidisciplinary team as indicated to help member/client maximize best health outcomes. May make outreach to treating physician or specialists concerning course of care and treatment as appropriate. Provides educational and prevention information for best medical outcomes. 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. Conducts an evaluation of members/clients' needs and benefit plan eligibility and facilitates integrative functions using clinical tools and information/data. Utilizes case management processes in compliance with regulatory and company policies and procedures. Facilitates appropriate condition management, optimize overall wellness and medical outcomes, appropriate and timely return to baseline, and optimal function or return to work. 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/client's overall wellness through integration. Monitors member/client progress toward desired outcomes through assessment and evaluation. Background Experience: BACKGROUND/EXPERIENCE: 3+ years case management and QRC experience. Ability to travel within a designated geographic area for in-person case management activities Bilingual preferred Knowledge of laws and regulations governing delivery of rehabilitation services. Job-specific technical knowledge, (e.g., knowledge of workers compensation and disability industry for workers compensation case managers or case management). Excellent analytical and problem solving skills Effective communications, organizational, and interpersonal skills. Ability to work independently (may require working from home). Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications. Effective computer skills including navigating multiple systems and keyboarding EDUCATION The minimum level of education desired for candidates in this position is a Associate's degree or equivalent experience. LICENSES AND CERTIFICATIONS QRC (Qualified Rehabilitation Consultant) license required for the state of MN. Medical Management/Certified Professional Disability Manager (CRC, CPDM or CDMS, COHN, CRRN, CCM) is preferred Nursing/Registered Nurse (RN) is preferred, active and unrestricted Any type of behavioral health licensing is preferred. FUNCTIONAL EXPERIENCES Functional - Medical Management/Medical Management - Case Management/4-6 Years Functional - Nursing/Case Management/1-3 Years Telework Specifications: Flexible Telework. Full Time Work at Home (WAH). 1/2 travel for location based in Minneapolis/St Paul, MN. All employees are expected to embody our values of Excellence, Integrity, Caring and Inspiration in all that they do as an employee. The overall responsibility of the Field Case Manager is to ensure the injured worker receives the best possible care in a timely and efficient manner towards full rehabilitation and return to work.Please note that we do offer mileage reimbursement for local travel. As a Workers' Compensation Field Case Manager, you will be offered: * Autonomy * Productivity incentives * Monday-Friday schedule * Reimbursement for mileage, tolls, parking, licensure and certification * Laptop, iPhone & printer/fax/scanner all in one. All major holidays are paid time off, vacation and sick time off is accrued. Full benefits offered including 401(k) and many corporate discounts available. Employees are reimbursed for fees to maintain licensure as well as free CEU's to maintain licensure. Continuing Education credits are available/provided for RN and a various industry certifications too. Work from home with in-state travel. In addition to annual salary, position has potential for a monthly monetary bonus. Benefit eligibility may vary by position. Click here to review the benefits associated with this position. Potential Telework Position: Yes Percent of Travel Required: 50 - 75% EEO Statement: Aetna is an Equal Opportunity, Affirmative Action Employer Benefit Eligibility: Benefit eligibility may vary by position. Click here to review the benefits associated with this position. Candidate Privacy Information: Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.
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