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Case Manager RN - Case Management
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- This Case Manager RN position is with Aetna's National Medical Excellence (NME) team and is a fully remote position.
- This role is a blended role doing both Case Management and Utilization Management.
- The RN Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness.
- Through the use of clinical tools and information/data review, conducts an evaluation of member's needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans.
- 6+ months Case Management or Utilization Management experience
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