in United States, North Carolina

Start Date: 09/24/2021 End Date: 11/05/2021 Duration: 7 weeks Shift: 5x8 Days Benefits: Competitive Salaries Generous Per Diem Rates Direct Deposit 401(k) Retirement Plans Job Bonuses Shift Differentials Medical, Dental, and Vision Insurance Free Professional Liability Insurance Licensing Assistance Temporary-To-Permanent Conversion Travel Reimbursement

Start Date: 09/27/2021 End Date: 11/21/2021 Duration: 8 weeks Shift: 5x8 Days Location: Pembroke, NC Benefits: Competitive Salaries Generous Per Diem Rates Direct Deposit 401(k) Retirement Plans Job Bonuses Shift Differentials Medical, Dental, and Vision Insurance Free Professional Liability Insurance Licensing Assistance Temporary-To-Permanent Conversion Travel Reimbursement

Start Date: 09/30/2021 End Date: 11/10/2021 Duration: 6 weeks Shift: 3x12 Days Benefits: Competitive Salaries Generous Per Diem Rates Direct Deposit 401(k) Retirement Plans Job Bonuses Shift Differentials Medical, Dental, and Vision Insurance Free Professional Liability Insurance Licensing Assistance Temporary-To-Permanent Conversion Travel Reimbursement

Start Date: 10/09/2021 End Date: 12/31/2021 Duration: 12 weeks Shift: 5x8 Days Benefits: Competitive Salaries Generous Per Diem Rates Direct Deposit 401(k) Retirement Plans Job Bonuses Shift Differentials Medical, Dental, and Vision Insurance Free Professional Liability Insurance Licensing Assistance Temporary-To-Permanent Conversion Travel Reimbursement

Start Date: 09/27/2021 End Date: 12/19/2021 Duration: 12 weeks Shift: 3x12 Days Benefits: Competitive Salaries Generous Per Diem Rates Direct Deposit 401(k) Retirement Plans Job Bonuses Shift Differentials Medical, Dental, and Vision Insurance Free Professional Liability Insurance Licensing Assistance Temporary-To-Permanent Conversion Travel Reimbursement

Canadian Nurses Required!We are now hiring for one of the biggest Healthcare Systems to work for in North Carolina and Missouri area of the US.Expected benefits with the job:* Medical/ Dental/ Vision Coverage* Pension Plans* Sponsored Work VisaEligibility for the Job:* Canadian Citizen* NCLEX Passer* Minimum 1 year of work experienceReach out to me for further information on the Hospital and the process.

This will be an office position once COVID restrictions are lifted, and the employee must be able to commute to the High Point, NC officeNurse Case Manager is responsible for telephonically 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. Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration. Services strategies policies and programs are comprised of network management and clinical coverage policies1Through 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.Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.Assessments take into account information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.Reviews prior claims to address potential impact on current case management and eligibility.Assessments include the member’s level of work capacity and related restrictions/limitations.Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality.Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management.Utilizes case management processes in compliance with regulatory and company policies and procedures.

This position will be working from home and will require the employee to be licensed and located in GA, NC or FLProgram Overview Help us elevate our patient care to a whole new level! Join our Community Care team as an industry leader in serving our members by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Community Care members.Community Care is a member centric, team-delivered, community-based care management model that joins members where they are.With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. Acts as a liaison with member/client /family, employer, provider(s), insurance companies, and healthcare personnel as appropriate. • Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care. • Interacts with members/clients telephonically or in person. May be required to meet with members/clients in their homes, worksites, or physician’s office to provide ongoing case management services.• Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client’s appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate.

Oversees the implementation of clinical management services for A1A customers in assigned pods (may have 3-4 pods). Reinforces clinical philosophy, implements clinical policies & procedures in accordance with applicable regulatory and accreditation standards (e.g. NCQA, URAC, state and federal standards and mandates as applicable). Serve as a content model expert and mentor to the team regarding practice standards, quality of interventions, problem resolution and critical thinking. Participate in the recruitment and hiring process for staff using clearly defined requirements in terms of education, experience, technical and performance skills. Assess developmental needs and collaborate with others to identify and implement action plans that support the development of high performing teams. Act as a single point of contact for the customer and the Account Team which includes participation in customer meetings, implementation and oversight of customer cultural requirements, and support implementation of new customers. Evaluate and interpret data, identify areas of improvement, and focus on interventions to improve outcomes. Ensures implementation of tactics to meet strategic direction for cost and quality outcomes. Accountable for meeting the financial, operational and quality objectives of the unit. Works closely with functional area managers to ensure consistency in clinical interventions supporting our plan sponsors. Establish an environment and work style that promotes the concept of teamwork, cross product integration, and continuum of care thinking that results in strong performance. Consistently demonstrates the ability to serve as a model change agent and lead change efforts.The A1A Manager of Clinical Services is responsible for oversight of the clinical team supporting the AetnaOne Advocate Program. The Manager is responsible for leading teams of 15-20 clinical resources and non-clinical resources and development of a best in class,high performing team

This position will be an in-office role located at the High Point, NC office. Once COVID restrictions are lifted, the employee will be 100% in-office What is A1A?Aetna One Advocate is Aetna’s premier service and clinical offering for Aetna nation-wide and creates industry-leading solutions for our customers and members. The model is a fully integrated population health and customer service solution for large plan sponsors high-touch, high-tech member advocacy service which combines data-driven processes with the expertise of highly trained clinical and concierge member services. Our mission is to meet each member at every aspect of their health care journey. Our embedded customer-dedicated service and clinical pods allow maximization of inbound and outbound touchpoints to solve members’ needs and create behavior change. Our data analytics, white-glove service and end-to-end ownership of member support creates a trusted partner in health. This is an exciting time to join Aetna a CVS Health company in our journey to change the way healthcare is delivered today. We are health care innovators.POSITION SUMMARYClinician with strong clinical and communication skills collaborating with the Aetna Once Advocate (A1A) multi-disciplinary care team to maximize the health and wellness of the member. Ability to thrive in a multi-tasking environment. Engage both provider, other clinical disciplines, support staff, and the member to solve medication related issues. Implements national clinical management programs in local markets. Manages pharmacy component of medical benefit for assigned customers. Selects and guides strong teams through training, coaching, mentoring, performance management and development.