Aetna Field Case Manager-Vocational CRC CDMS Goldsboro, NC in Morrisville, North Carolina

Req ID: 49897BR

POSITION SUMMARY

Responsible for assessing and analyzing an injured employee to evaluate the vocational

needs required to facilitate the patients appropriate and timely return to work. Acts as a

liaison with patient/family, employer, provider(s), insurance company, and healthcare

personnel.

Fundamental Components:

Assesses and analyzes an injured employees vocational status; develops a plan of care

to facilitate the patients appropriate and timely return to work.

Interviews patients in their homes, work-sites, or physicians office to provide ongoing

case management services.

Conducts vocational testing, job site analysis, job development, counseling and

placement to manage patients return to work status; monitors patient progress toward

desired outcomes through assessment and evaluation.

Communicates both in-person and telephonically with patient, medical providers,

attorneys, employers and insurance carriers; prepares all required documentation of

case work activities.

Arranges referrals, consultations and therapeutic services for patients on a PRN basis;

confers with specialists concerning course of care and treatment.

Develops and administers educational and prevention programs.

Adheres to all laws and regulations that apply to the provision of rehabilitation services;

applies all special instructions required by individual insurance carriers and referral

sources.

Testifies as required to substantiate any relevant case work or reports.

Performs other related duties as assigned.

BACKGROUND/EXPERIENCE:

Certification with the state Workers Compensation Court required where dictated by

state law. Additional national professional certification (CRC,CDMS) required

Minimum of 3 years' case management experience required.

Knowledge of laws and regulations governing delivery of rehabilitation services.

Knowledge of workers compensation and disability industry.

Excellent analytical and problem solving skills

Ability to work with a multidisciplinary team

Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications.

Ability to travel locally as required 50-75%.

Effective communications, organizational, and interpersonal skills.

EDUCATION

The minimum level of education desired for candidates in this position is a Bachelor's degree, prefers Master's degree.

LICENSES AND CERTIFICATIONS one is required:

Medical/Certified Rehabilitation Counselor (CRC)

Medical/Certified Disability Management Specialist CDMS

FUNCTIONAL EXPERIENCES

Functional - Medical Management/Medical Management - Workers compensation/1-3 Years

TECHNOLOGY EXPERIENCES

Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User

Technical - Remote Access/WAH (Work at Home)//End User

ADDITIONAL JOB INFORMATION

Work from home, No weekends or holidays.

Part time hours for 24-25 hours a week is: Monday through Friday and daytime hours.

Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

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.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

All major holidays are paid time off, vacation and sick time off is accrued. Full benefits offered including 401(k) and many corporate discounts available. Employees are reimbursed for fees to maintain licensure as well as free CEU s to maintain licensure. Continuing Education credits are available/provided and a various industry certifications too. Work from home with in-state travel. In addition to annual salary, position has potential for a monthly monetary bonus. Mileage reimbursement is provided per the IRS rate. Coventry provides laptop, IPhone, fax/scanner/printer, as well as office supplies.Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Job Function: Workers' Compensation