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Home » Search Jobs » Job Details Jobs Annie Kozakiewicz, Case Manager - RN Name: Annie Kozakiewicz ADVERTISEMENT ADVERTISEMENT Company: Aetna, Inc Address: 1 N Wacker Dr # 1200, Chicago,IL  60629 US Email: Email Company Job title: Case Manager - RN Job description:         ADVERTISEMENT ADVERTISEMENT This position is located in Aetna's Downtown Chicago office. POSITION SUMMARY The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individuals benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. Requires an RN with unrestricted active license. The CM process includes: assessing the member's health status and care coordination needs, inpatient review and discharge planning, developing and implementing the CM plan, monitoring and evaluating the plan and involving the Medical Director as indicated and closing the case as appropriate when the member has met discharge criteria. The responsibilities of this position are to apply data driven methods of identification of members to fashion individualized case management programs and/or referrals to alternative healthcare programs. Conducts comprehensive clinical assessments. Evaluates needs and develops flexible approaches based on member needs, benefit plans or external programs/services. Advocates for patients to the full extent of existing health care coverage. Promotes quality, cost effective outcomes and makes suggestions to improve program/operational efficiency. Identifies and escalates quality of care issues through established channels. Expectation is a very high level of customer service. EDUCATION The highest level of education desired for candidates in this position is a Bachelor's degree. LICENSES AND CERTIFICATIONS Nursing/Registered Nurse (RN) is required REQUIRED SKILLS Finance/Managing Aetnas Risk General Business/Consulting for Solutions Benefits Management/Maximizing Healthcare Quality Organ Transplant Experience Behavioral/Mental Health Experience Computer Skills FUNCTIONAL EXPERIENCES Nursing/Case Management/Managed Care experience5-8 Years Nursing/Disease Management/1-3 Years Nursing/Discharge Planning/5-8 Years Nursing/Transplant experience/1-3 Years Nursing/Behavioral Health/5-8 Years ADDITIONAL JOB INFORMATION Please note that benefit eligibility may vary by position. Click here to review the benefits associated with this position. Aetna does not permit the use of tobacco related products or drugs in the workplace. Email Job to Yourself or Refer This Job » Contact Company »