✨ About The Role
- The Case Manager RN position is with Aetna's National Medical Excellence (NME) team and is fully remote
- Responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members
- Develops proactive courses of action to address issues presented and enhance short and long-term outcomes for members
- Utilizes case management processes in compliance with regulatory and company policies and procedures
- Offers a pay range from $60,522.80 to $129,600.00, with additional benefits and incentives
âš¡ Requirements
- Experienced RN with at least 5 years of clinical practice and 6+ months of Case Management or Utilization Management experience
- Must have an active, current, and unrestricted compact RN licensure in the state of residence
- Ability to work Monday through Friday 8:00am to 5:00pm in the time zone of residence
- Skilled in conducting evaluations of member's needs and benefit plan eligibility
- Strong clinical judgment to address complex health and social indicators impacting care planning