Teams at Aetna

Registered Nurse Case Manager performs comprehensive member assessments, develops member-centered care plans, coordinates providers and community resources, conducts crisis intervention and follow-up, documents care, and completes face-to-face field visits. Requires travel with personal vehicle; telework possible after training. Ensures appropriate utilization and quality of care while supporting return-to-work and cost-effective outcomes.

Manage utilization management and concurrent review operations, lead onsite and remote clinical teams, implement clinical policies and best practices, meet financial/quality goals, act as customer/account liaison, recruit and develop staff, analyze data to improve outcomes, and ensure compliance with procedures.