The job below is no longer available.
Registered Nurse (RN) Utilization Management (UM) Nurse Consultant - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Linthicum, Maryland |
About this job
This UM Nurse Consultant is a work-at-home opportunity. Full-Time Telework (WAH) available only for candidates located in Southeast US states, preferably located in MD, VA or DC.
POSITION SUMMARY
Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Requires an RN with unrestricted active license.
Fundamental Components:
The UM Nurse Consultant utilizes clinical skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options and services to facilitate appropriate inpatient healthcare management and effective discharge planning to improve the outcomes for members. More specifically, the inpatient care process includes: obtaining necessary information from providers and facilities concerning the care being provided to members; the assessment of a member's clinical condition and ongoing medical services and treatments to determine medical appropriateness; guide the setting for medical intervention to achieve optimum length of stay for members; the early identification of continuing care needs to facilitate discharge to the appropriate setting and discharge planning & coordination
Telework Specifications:
Full-Time Telework (WAH) available only for candidates located in Southeast US states, preferably located in MD, VA or DC.
BACKGROUND/EXPERIENCE desired:
- Minimum 3+ years of clinical Med/Surg experience required
-Managed Care and/or Utilization Review/Utilization Management experience strongly preferred
LICENSES AND CERTIFICATIONS
An active and unrestricted Registered Nurse (RN) license is required.
EDUCATION
The level of education desired for candidates in this position is a Associate's degree or equivalent experience.
FUNCTIONAL EXPERIENCES
Functional - Nursing/Concurrent Review/discharge planning/4-6 Years
Functional - Nursing/Medical-Surgical Care/4-6 Years
Functional - Nursing/Discharge Planning/4-6 Years
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
Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Requires an RN with unrestricted active license.
Fundamental Components:
The UM Nurse Consultant utilizes clinical skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options and services to facilitate appropriate inpatient healthcare management and effective discharge planning to improve the outcomes for members. More specifically, the inpatient care process includes: obtaining necessary information from providers and facilities concerning the care being provided to members; the assessment of a member's clinical condition and ongoing medical services and treatments to determine medical appropriateness; guide the setting for medical intervention to achieve optimum length of stay for members; the early identification of continuing care needs to facilitate discharge to the appropriate setting and discharge planning & coordination
Telework Specifications:
Full-Time Telework (WAH) available only for candidates located in Southeast US states, preferably located in MD, VA or DC.
BACKGROUND/EXPERIENCE desired:
- Minimum 3+ years of clinical Med/Surg experience required
-Managed Care and/or Utilization Review/Utilization Management experience strongly preferred
LICENSES AND CERTIFICATIONS
An active and unrestricted Registered Nurse (RN) license is required.
EDUCATION
The level of education desired for candidates in this position is a Associate's degree or equivalent experience.
FUNCTIONAL EXPERIENCES
Functional - Nursing/Concurrent Review/discharge planning/4-6 Years
Functional - Nursing/Medical-Surgical Care/4-6 Years
Functional - Nursing/Discharge Planning/4-6 Years
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
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