Aetna is seeking a dedicated Telehealth Nurse Case Manager to join our innovative healthcare team. This remote position allows you to make a meaningful impact on patient care by providing high-quality telephonic support to our members. In this role, you will be responsible for assessing, planning, and coordinating care for patients with complex medical needs, ensuring they receive appropriate services and support. You will collaborate closely with interdisciplinary teams, including physicians, social workers, and community resources, to develop individualized care plans that optimize health outcomes. The ideal candidate will possess strong clinical skills and an empathetic approach to patient interactions. As a Telehealth Nurse Case Manager, you will leverage your expertise in a virtual setting, empowering patients to navigate their healthcare journey effectively. This position offers a unique opportunity to work in a fast-paced environment while promoting a patient-centered approach to care delivery.

Key Responsibilities:

• Conduct thorough assessments of patient health and social needs via telephonic interactions.
• Develop and implement individualized care plans in collaboration with patients, families, and healthcare providers.
• Monitor patient progress, adjust care plans as necessary, and provide education on disease management.
• Facilitate access to healthcare services, including specialists, home health care, and community resources.
• Advocate for patients needs and support them in overcoming barriers to care.
• Document all interactions, assessments, and care plans in accordance with company policies and regulatory requirements.
• Participate in interdisciplinary team meetings and contribute to quality improvement initiatives.

Required Skills and Qualifications:

• Current and unrestricted RN license in the state of practice.
• Bachelor degree in Nursing (BSN) preferred; equivalent experience may be considered.
• Excellent communication skills, both verbal and written.
• Strong organizational and time management abilities.
• Proficiency in using telehealth technology and electronic health record systems.
• Ability to work independently and make sound clinical decisions.

Experience:

• Minimum of 3 years of clinical nursing experience required.
• Previous case management or telehealth experience preferred.
• Experience in managing chronic illnesses and coordinating care for complex patients.

Working Hours:

• Full-time position with flexible working hours.
• Occasional weekends or holidays may be required based on patient needs.

Knowledge, Skills, and Abilities:

• In-depth knowledge of nursing practices, healthcare regulations, and telehealth protocols.
• Ability to analyze data and make informed decisions regarding patient care.
• Strong interpersonal skills and the ability to build rapport with diverse patient populations.
• Adaptability to changing technology and healthcare environments.

Benefits:

• Competitive salary and performance-based bonuses.
• Comprehensive health, dental, and vision insurance plans.
• Flexible work-from-home arrangements.
• Generous paid time off and holiday schedule.
• Professional development and continuing education opportunities.
• Retirement savings plan with company match.

Why Join Aetna?

At Aetna, we are committed to transforming the healthcare landscape. By joining our team, you will be part of an organization that values innovation, teamwork, and a patient-first approach. We strive to create a supportive and inclusive work environment that encourages professional growth and work-life balance. Your contributions will directly impact the lives of our members, making a significant difference in their healthcare journeys.

How to Apply:

If you are passionate about providing exceptional patient care in a telehealth setting and meet the qualifications listed above, we invite you to apply. Please submit your resume and cover letter through our careers page at Aetna Careers or contact our HR department for further inquiries. Join us in our mission to improve the health and well-being of our members!