Remote RN Case Manager – Aetna Healthcare Jobs

Job Description

Job Summary

Aetna Health Services is seeking a compassionate and detail-oriented Remote RN Case Manager to join our dynamic healthcare team. In this role, you will provide exceptional case management services, supporting patients through comprehensive care plans, coordinating with healthcare providers, and ensuring optimal outcomes. This remote opportunity allows registered nurses to deliver high-quality care while enjoying the flexibility of working from home.

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Key Responsibilities

• Conduct comprehensive assessments of patients’ medical, social, and psychological needs.


• Develop, implement, and monitor individualized care plans in collaboration with patients, families, and healthcare providers.


• Coordinate with multidisciplinary teams including physicians, specialists, and social workers to optimize patient outcomes.


• Provide education, counseling, and support to patients and caregivers on treatment plans, disease management, and available resources.


• Monitor patient progress and adjust care plans as necessary to meet evolving healthcare needs.


• Document patient interactions, care plans, and outcomes accurately in compliance with regulatory and company standards.


• Ensure adherence to Aetna’s quality standards, policies, and protocols.


• Serve as a resource for healthcare professionals, providing guidance on care management best practices.

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Required Skills and Qualifications

• Active and unrestricted Registered Nurse (RN) license in the applicable state(s).


• Proven experience in case management, care coordination, or utilization review preferred.


• Strong clinical knowledge across multiple healthcare settings and conditions.


• Excellent verbal and written communication skills to effectively interact with patients, families, and healthcare teams.


• Proficiency with electronic medical records (EMR) systems and telehealth technology.


• Ability to manage multiple cases simultaneously and prioritize tasks effectively.


• Strong problem-solving, critical thinking, and organizational skills.

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Experience

• Minimum 2–3 years of nursing experience, preferably in case management, managed care, or chronic care management.


• Prior experience in remote healthcare or telehealth settings is a plus.

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Working Hours

• This is a full-time remote position with standard business hours.


• Some flexibility may be required to accommodate patient schedules and time zone differences.

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Knowledge, Skills, and Abilities

• In-depth understanding of clinical guidelines, care management principles, and disease management programs.


• Ability to educate and guide patients on healthcare decisions, treatments, and lifestyle modifications.


• Skilled in using data and analytics to monitor patient outcomes and care effectiveness.


• Strong interpersonal skills with empathy and professionalism in patient interactions.


• Self-motivated, proactive, and comfortable working independently in a remote environment.

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Benefits

• Competitive salary and performance-based incentives.


• Comprehensive healthcare coverage including medical, dental, and vision.


• Paid time off, holidays, and flexible scheduling options.


• Opportunities for professional development, certifications, and career advancement.


• Access to wellness programs and employee assistance resources.

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Why Join Aetna Health Services

Aetna Health Services is committed to transforming healthcare delivery through innovation, compassion, and excellence. As a Remote RN Case Manager, you will be part of a supportive team making a real impact on patients’ lives, while enjoying the flexibility and convenience of a remote work environment. Join us to advance your career in a company that values your expertise and fosters professional growth.

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How to Apply

Interested candidates should submit their resume and cover letter through the official Aetna Health Services careers portal. Please ensure your RN license details are included in your application. Selected applicants will be contacted for a virtual interview.

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Job Details