Description |
It is highly preferred for the candidate to be bilingual in Spanish and English, and to have prior case management/utilization review experience. Candidate must be within commuting distance of and work in an Aetna office in San Antonio, TX, Plantation, FL, or South Portland, ME.POSITION SUMMARYUtilizes clinical skills to coordinate, document and communicate all aspects of the utilization / benefit management program. Requires an RN with unrestricted active license. This position is for our Aetna One Premier team and requiring the highest level of customer service.EDUCATIONThe highest level of education desired for candidates in this position is a Bachelors degree or equivalent experience.LICENSES AND CERTIFICATIONSNursing/Registered Nurse (RN) is requiredFUNCTIONAL EXPERIENCESFunctional - Nursing/Disability/1-3 YearsFunctional - Case management/Medical management/1-3 YearsFunctional - Utilization management/discharge planning/utilization review/concurrent review/1-3 YearsFunctional - Nursing/Clinical experience/1-3 YearsTECHNOLOGY EXPERIENCESTechnical - Desktop Tools/Microsoft Word/1-3 YearsTechnical - Desktop Tools/Microsoft Outlook/1-3 YearsREQUIRED SKILLSLeadership/Collaborating for ResultsGeneral Business/Applying Reasoned JudgmentBenefits Management/Interacting with Medical ProfessionalsDESIRED SKILLSTechnology/Leveraging TechnologyLeadership/Driving a Culture of ComplianceGeneral Business/Consulting for SolutionsPlease note that benefit eligibility may vary by position. Clickhereto review the benefits associated with this position. Aetna does not permit the use of tobacco related products or drugs in the workplace. Job Function: Health Care
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Requirements |
See job description.
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