UM Nurse Consultant

Are you passionate about improving the quality of healthcare for individuals across the country? Do you have a strong background in nursing and a desire to make a positive impact on the healthcare industry? Aetna is seeking a highly skilled and compassionate UM Nurse Consultant to join our team. In this role, you will utilize your clinical expertise to review and analyze medical records and provide recommendations for appropriate and cost-effective care. If you possess strong critical thinking skills, excellent communication abilities, and a commitment to delivering top-notch healthcare services, we encourage you to apply for this exciting opportunity. Join us in our mission to build a healthier world, one patient at a time. Review and analyze medical records to determine appropriate and cost-effective care for patients. Utilize clinical expertise to make recommendations for treatment plans and care options. Collaborate with healthcare providers to ensure the best possible outcomes for patients. Stay up-to-date on current healthcare trends, policies, and regulations. Maintain accurate and detailed documentation of all patient interactions and care recommendations. Communicate effectively with patients, healthcare providers, and other team members. Utilize critical thinking skills to identify potential issues and develop solutions. Adhere to all ethical and legal standards related to patient care and confidentiality. Participate in ongoing education and training to maintain knowledge and skills. Contribute to the development and implementation of quality improvement initiatives. Act as a resource and mentor for other team members. Maintain a positive and professional attitude while promoting a patient-centered approach to care. Embrace the mission and values of the organization in all interactions. Adhere to all company policies and procedures. Continuously strive to improve the quality of healthcare services provided to patients. Aetna is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Apply tot his job