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Hours Full-time, Part-time
Location chicago, Illinois

About this job

This is a work at home position available to candidates that reside in Illinois. In order to be considered, candidates must be comfortable traveling between 25%-50% of the time to Chicago and Downers Grove, IL. Qualified candidates will have clinical experience in a specialty unit (High Risk OB, CCU, PCU, ICU) as well as experience in utilization management or case management. This is a highly specialized role that will require a quick learner that is very computer savvy.

POSITION SUMMARY

This position will develop and deliver training for Medicaid Health Plan personnel and Shared Services Departments. This includes the roles of Case Management Associate, Case Management Coordinator, Clinical Case Manager, UM Inbound Queue Rep, PA Nurse and Concurrent review.

Assists design and development of curriculum and develops and delivers training sessions to a uniquely defined designated audiences of learners. Collaborate with local leadership and national curricula design teams to ensure the successful development and transfer of learning from the classroom back to the job. Oversees the classroom environment for long-term and complex training situations, managing all aspects of student performance and feedback to management.

Uses a variety of educational media to design and develop state-of-the-art training tools and programs for designated Aetna audiences; assesses and reports on the effectiveness and ROI of training programs.

Superior knowledge and application of performance-based instructional design methodologies, adult learning principles and educational media.

BACKGROUND/EXPERIENCE desired:

Superior knowledge and application of performance-based instructional design methodologies, adult learning principles and educational media.

2+ years of Managed Care experience (Utilization Management or Case Management) is required

EDUCATION

The highest level of education desired for candidates in this position is a Associate's degree or equivalent experience.

LICENSES AND CERTIFICATIONS

Nursing/Board of Nursing (Any State) is required

FUNCTIONAL EXPERIENCES

Functional - Medical Management/Medical Management - Case Management/1-3 Years is highly preferred

Functional - Medical Management/Medical Management - Home health care/1-3 Years is preferred

Functional - Medical Management/Medical Management - Concurrent Review/1-3 Years is required

Functional - Learning/Principals of Adult Learning/1-3 Years

Functional - Learning/Preceptor - Nurse/1-3 Years

TECHNOLOGY EXPERIENCES

Technical - Desktop Tools/Microsoft PowerPoint/4-6 Years is required

Technical - Desktop Tools/Microsoft Word/4-6 Years is required

Technical - Desktop Tools/Microsoft Outlook/4-6 Years is required

Technical - Desktop Tools/Microsoft SharePoint/4-6 Years is required

REQUIRED SKILLS

General Business/Applying Reasoned Judgment/ADVANCED

General Business/Communicating for Impact/FOUNDATION

General Business/Consulting for Solutions/ADVANCED

DESIRED SKILLS

General Business/Demonstrating Business and Industry Acumen/ADVANCED

Leadership/Collaborating for Results/ADVANCED

Technology/Leveraging Technology/ADVANCED

Telework Specifications:

This will be a home based position that will require travel between Chicago and Downers Grove.

ADDITIONAL JOB INFORMATION

Join an organization that is the leader in promoting internal and external health and wellness. Aetna is transforming health care to create healthier communities, a healthier nation, a healthier world. The Aetna Way promotes the core values of operating with compassion and care, inspiration, excellence and integrity.

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