About this opportunity
Aetna lists this Workers Compensation RN Field Case Manager Registered Nurse Monroe, MI opportunity in grand rapids, Michigan. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Workers Compensation RN Field Case Manager
Full‑time
Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.
Job Description
We are seeking self‑motivated, energetic, detail‑oriented, highly organized, tech‑savvy Registered Nurses to join our Workers’ Compensation Field Case Management team. This is a work‑from‑home position with travel to meet clients, providers and employers primarily around Monroe, MI & Toledo, OH, up to approximately 75 miles. The case manager will coordinate and facilitate medical treatment of workers’ comp clients, document all activities and support return‑to‑work processes.
Responsibilities
Coordinate and facilitate medical treatment of workers’ compensation clients in various stages of recovery.
Travel to meet clients, providers and employers; maintain regular communication to facilitate return to work.
Conduct assessments, identify medical and vocational barriers, and develop strategies to overcome barriers.
Attend appointments with clients and providers to review medical status and discuss treatment plans.
Compare recommended treatment plans with clinical protocols and collaborate with providers to resolve differences.
Maintain detailed documentation, including case analysis of job requirements, and provide summary reports within 24 hours to referral sources.
Complete catastrophic referral training within the first year and manage occasional catastrophic referrals after regular business hours.
Use technology (iPhone, laptop, Microsoft Office) for timely, concise communication and record‑keeping.
Qualifications/Experience
3+ years clinical practice experience.
3+ years case management experience with workers’ compensation, disability, and auto liability preferred.
If no case management experience, 5 years of Home Health Care and/or Hospice care.
Bilingual in Spanish preferred.
Knowledge of laws and regulations governing delivery of rehabilitation services.
Effective communication, organizational, and interpersonal skills.
Ability to work independently from a safe and secure home environment.
Proficiency with Microsoft Office and corporate software applications.
Education
Bachelor’s degree or equivalent experience.
Licenses & Certifications
Registered Nurse (RN) required. Preferred credentials: CCM, CDMS, COHN, COHN‑S, CRRN.
Functional Experience
Nursing/Case Management 1‑3 years
Nursing/Home Health Care 4‑6 years
Nursing/Occupational 1‑3 years
Nursing/Medical‑Surgical Care 4‑6 years
Technical Experience
Desktop Tools/Microsoft Outlook 4‑6 years
Desktop Tools/Microsoft Word 4‑6 years
Desktop Tools/Microsoft Explorer 4‑6 years
Benefits and Perks
Autonomy
Productivity incentives
Reimbursement for mileage, tolls, parking, licensure and certification
Laptop, iPhone and printer/fax/scanner
Annual performance‑based bonus (monthly or quarterly)
Paid holidays, flexible work schedule (Monday‑Friday)
Benefit eligibility may vary by position. You can review the benefits associated with this position.
Location: Monroe, MI (travel to Toledo, OH up to 75 miles)
#J-18808-Ljbffr
Worksite address
grand rapids, MI, 49528, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.