Project Manager at Omexom Energy Projects GmbH focusing on sustainable energy supply solutions. Managing projects from planning to handover with an emphasis on safety and quality.
About the role
- Case Manager Registered Nurse working with Aetna to enhance patient care for dual eligible populations. Collaborating with stakeholders to address comprehensive health needs and improve outcomes.
Responsibilities
- Help elevate patient care to a whole new level
- Join the Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models
- Collaborate with members, providers, and community organizations to address the full continuum of health care and social determinant needs
- Acts as a liaison with member/client /family, employer, provider(s), insurance companies, and healthcare personnel as appropriate
- Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care
- Interacts with members/clients telephonically or in person, may be required to meet with members/clients in their homes, worksites, or physician’s office
- Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status and develops a plan of care
- Communicates with member/client and other stakeholders, prepares all required documentation of case work activities as appropriate
- Interacts and consults with internal multidisciplinary team to help member/client maximize best health outcomes
- Provides educational and prevention information for best medical outcomes
- Monitors member/client progress toward desired outcomes through assessment and evaluation
Requirements
- Minimum 3-5 years clinical practical experience preference required
- Minimum 2-3 years CM, discharge planning and/or home health care coordination experience
- Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually
- Ability to travel within a designated geographic area for in-person case management activities as directed by Leadership and/or as business needs arise
- Excellent analytical and problem-solving skills
- Effective communications, organizational, and interpersonal skills
- Ability to work independently
- Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications
- Efficient and Effective computer skills including navigating multiple systems and keyboarding
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
- Benefit solutions that address different needs and preferences of colleagues such as paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility
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