Job description

Sign Up now for Aetna National Clinical Hiring Event! Aetna is growing and working to hire clinicians to support current and future clinical in all lines of our managed care business, including Commercial (Employer) contracts, Medicare, Medicaid and Utilization Management. We are hiring RNs, Social Workers (licensed Behavioral Health clinicians), and Case Management Coordinators with social services experience. This virtual event is on Nov 9th from 9-3pm EST. If interested in learning more or to RSVP, please clicking on this link: http://adtrk.tw/tp/rj6_cJEIU-I.K

This is a work from home position that can be performed from anywhere in the United States.

Work hours 8:00-4:30 in time zone of residence. Coverage for late shift as needed. Late shift would be 10a-7p EST or 9a-6p CT to cover until 4 pm in the Pacific time zone.

As a Registered Nurse (RN) UMNC on the Care Transition team, you will optimize our members' level of wellness and independence by avoiding unnecessary hospitalizations or service duplication, provide continuity of care, cost containment, and improve clinical and financial outcomes resulting in improved quality of life. You provide appropriate education and clinical inventions to members in multiple disease populations. Develop deep relationships with members and/or their caregivers functioning as a resource and advocate to enhance quality of care. You are the link between the member, the providers, the payer, and the community. The UMNC in this role will use their excellent written and verbal customer service skills and advanced computer skills in order to interact with key partners and members. As a Care Transition Nurse, you will use your clinical expertise to address social determinants of health issues, facilitate care gap closure by providing education, connection to resources, and referrals to the plan care management program for ongoing support as needed.
The Care Transition UMNC utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through direct provider coordination/collaboration, and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. Work autonomously and collaborate with multidisciplinary/multi-setting healthcare teams to coordinate quality, cost-effective care and minimize fragmentation of the healthcare delivery system.

Typical office working environment with productivity and quality expectations
Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor
Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
Effective communication skills, both verbal and written
willingness to work flexible hours desired.

Pay Range
The typical pay range for this role is:
Minimum: 58,760
Maximum: 125,840

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

Required Qualifications
Active and unrestricted RN license in state of residence
5+ years of experience as an RN

Post- acute experience with: Long Term Care ( LTC ), Long Term Acute Care ( LTAC), Acute Rehabilitation ( AR), or Skilled Nursing (SNF).

Ability to work hours of 8:00-4:30 in time zone of residence. Coverage for late shift as needed. Late shift would be 10a-7p EST or 9a-6p CT to cover until 4 pm in the Pacific time zone.

Preferred Qualifications
Compact Nurse License preferred
2-3 years of Managed Care experience preferred
CM experience a plus

Education
Registered Nurse Required

Business Overview
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

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