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Registered Nurse (RN) - Case Manager
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Princeton, New Jersey |
About this job
This position will be office based within Hackensack Physician Group in Hackensack, NJ . A unique opportunity to work collaboratively with our physician partners. Time management and organizational skills along with the ability to mange changing priorities are key to this position. Strong verbal and written communication skills plus proficiency with computers, navigating in multiple systems and web-based applications use of mouse and solid keyboarding skills.
POSITION SUMMARY
The RN case manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individuals benefit plan and /or health needs through communication and available resources to promote optimal, cost-effective outcomes.The RN case manager will work closely with Hackensack University Hospital to focus on population health management of Aetna members attributed to the physician groups. The RN case manager will need to live in close proximity to Hackensack University Hospital.
Fundamental Components:
The RN case manager will identify potential barriers to care and develop an individualized care management plan using a holistic approach to assist members with achieving their identified health goals. Utilizing data to assist in identifying trends or issues with a focus on STARS measures within the physician group such as readmission risk, diabetes treatment adherence.
BACKGROUND/EXPERIENCE desired:
RN with current, unrestricted New Jersey license. Minimum 3-5 years clinical ( acute and post-acute) experience; CCM certification and/or experience preferred. Ability to utilize data to as a tool to assist in tracking and trending outcomes and clinical information
EDUCATION
The 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
FUNCTIONAL EXPERIENCES
Functional - Nursing/Medical-Surgical Care/4-6 Years
Functional - Nursing/Case Management/1-3 Years
Functional - Nursing/Home Health Care Ambulatory Nursing/1-3 Years
Functional - Nursing/Discharge Planning/1-3 Years
TECHNOLOGY EXPERIENCES
Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User
Technical - Desktop Tools/Microsoft Word/1-3 Years/End User
Technical - Desktop Tools/Microsoft PowerPoint/1-3 Years/End User
REQUIRED SKILLS
Benefits Management/Understanding Clinical Impacts/FOUNDATION
Benefits Management/Maximizing Healthcare Quality/FOUNDATION
Leadership/Collaborating for Results/ADVANCED
DESIRED SKILLS
General Business/Turning Data into Information/FOUNDATION
Technology/Leveraging Technology/FOUNDATION
Service/Providing Solutions to Constituent Needs/ADVANCED
Telework Specifications:
This is an onsite (embedded) position with home set up in the event unable to report to office, i.e. bad weather.
ADDITIONAL JOB INFORMATION
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.
We conduct pre-employment drug and background testing. Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
Employment Type Regular Career Band Description Professional
POSITION SUMMARY
The RN case manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individuals benefit plan and /or health needs through communication and available resources to promote optimal, cost-effective outcomes.The RN case manager will work closely with Hackensack University Hospital to focus on population health management of Aetna members attributed to the physician groups. The RN case manager will need to live in close proximity to Hackensack University Hospital.
Fundamental Components:
The RN case manager will identify potential barriers to care and develop an individualized care management plan using a holistic approach to assist members with achieving their identified health goals. Utilizing data to assist in identifying trends or issues with a focus on STARS measures within the physician group such as readmission risk, diabetes treatment adherence.
BACKGROUND/EXPERIENCE desired:
RN with current, unrestricted New Jersey license. Minimum 3-5 years clinical ( acute and post-acute) experience; CCM certification and/or experience preferred. Ability to utilize data to as a tool to assist in tracking and trending outcomes and clinical information
EDUCATION
The 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
FUNCTIONAL EXPERIENCES
Functional - Nursing/Medical-Surgical Care/4-6 Years
Functional - Nursing/Case Management/1-3 Years
Functional - Nursing/Home Health Care Ambulatory Nursing/1-3 Years
Functional - Nursing/Discharge Planning/1-3 Years
TECHNOLOGY EXPERIENCES
Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User
Technical - Desktop Tools/Microsoft Word/1-3 Years/End User
Technical - Desktop Tools/Microsoft PowerPoint/1-3 Years/End User
REQUIRED SKILLS
Benefits Management/Understanding Clinical Impacts/FOUNDATION
Benefits Management/Maximizing Healthcare Quality/FOUNDATION
Leadership/Collaborating for Results/ADVANCED
DESIRED SKILLS
General Business/Turning Data into Information/FOUNDATION
Technology/Leveraging Technology/FOUNDATION
Service/Providing Solutions to Constituent Needs/ADVANCED
Telework Specifications:
This is an onsite (embedded) position with home set up in the event unable to report to office, i.e. bad weather.
ADDITIONAL JOB INFORMATION
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.
We conduct pre-employment drug and background testing. Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
Employment Type Regular Career Band Description Professional