Registered Nurse (RN) - Case Manager - Medical CA - Full-time / Part-time

Coventry Workers' Compensation Services offers workers' comp cost and care management solutions for employers, insurance carriers, and third-party administrators. With roots in both clinical and network services, Coventry leverages more than 30 years of industry knowledge and experience. In 2013, Coventry became a part of Aetna, joining together with common values and a common mission: empowering people to live healthier lives.

POSITION SUMMARY

The Workers' Compensation Field Case Manager is responsible for assessing and analyzing injured employees to evaluate their medical and vocational needs. The Workers Comp Field Case Manager must facilitate the patients' appropriate and timely return to work, acting as a liaison between the patient/family, employer, providers, insurance, and other healthcare personnel. This is a field-based position in Redding, CA with expected travel of 50%. Travel is locally-based, and no overnight travel will be required When not traveling, the candidate will be working from home . Candidates bilingual in English and Spanish are encouraged to apply.

This opportunity is eligible for a sign-on bonus. RN Case Managers who are bilingual and/or have previous workers' compensation experience are eligible for up to $5,000. RN Case Managers with no prior workers' compensation experience are eligible for up to $1,000.

The Workers' Comp Case Manager will:

* Travel daily in the field

* Monitor patient progress towards desired outcomes through ongoing assessment and evaluation

* Communicate both in-person and telephonically with injured workers, medical providers, attorneys, employers, claims examiners and more

* Arrange specialty referrals, consultations, and services that correlate with clinical guidelines to expedite recovery

* Uphold applicable state and federal workers' compensation disability regulatory requirements

* Complete activity reports, Substantiating all case activities carried out and services rendered

REQUIRED BACKGROUND/EXPERIENCE:

* Active and unrestricted Registered Nurse (RN) license in state of employment

* Minimum 2 years of clinical nursing experience

* Strong computer skills

* Excellent communication skills

* Workers Compensation/ Occupational Health experience (required or preferred depending on location)

* Bilingual in Spanish

PREFERRED BACKGROUND/EXPERIENCE:

* Workers Compensation/ Occupational Health experience (required or preferred depending on location)

* CCM, COHN, CDMS, or CRRN license

* Case Management experience

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