|Registered Nurse (RN) - Onsite Informatics Clinical Care Manager|
|0 - 10%|
The RN Informatics Clinical Care Manager will be located at an onsite facility in the Sacramento, CA area with American Health Holding - a subsidiary of Aetna.
Candidates must have strong nursing informatics skills, specifically with reporting capabilities within Excel, and more included below.
The RN Informatics Clinical Care Manager will analyze data and then use the findings to manage members' care plans. Use clinical judgment and critical thinking skills to facilitate appropriate healthcare services for members. This experienced RN will be involved in using HEDIS along with ETG and ERG reporting methodologies to promote effective utilization of available healthcare resources and cost-effective outcomes.
This candidate must be experienced with Excel, particularly with strong data mining skills; HEDIS; and ETG or ERG reporting methodologies. The candidate must also have case management experience.
-5+ years as an RN in a clinical setting is required.
-An understanding of cost-effective healthcare measures, including HEDIS is highly preferred.
-Excellent Microsoft Excel skills (ability to filter, report on data, sort, de-duplicate, sub-total and create pivot tables, etc) is required.
-Experience with Episode Treatment Group (ETG) and related Episode Risk Group (ERG) reporting methodologies is highly preferred.
-Nursing Informatics experience is required, preferably focused within Case Management.
The highest level of education desired for candidates in this position is a Masters degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Nursing/Certified Case Manager (CCM) is desired
Nursing/Registered Nurse (RN) is required
Technical - Desktop Tools/Microsoft Excel/1-3 Years
Technical - Desktop Tools/Microsoft Word/1-3 Years
Technical - Desktop Tools/Microsoft Outlook/1-3 Years
Aetna does not permit the use of tobacco related products or drugs in the workplace.