Utilization Management Associate – Virginia Licensed Practical Nurse
About The Position
Join Aetna’s Long-Term Services and Supports (LTSS) team as a UM Nurse Associate and play a vital role in supporting high-quality, coordinated care for members across Virginia. This fully remote opportunity offers a structured weekday schedule (Monday–Friday, 8:00 AM–5:00 PM) and is ideal for a detail-oriented, compassionate Licensed Practical Nurse who thrives in a collaborative, fast-paced environment. In this role, you will review medical records and treatment plans to ensure care is appropriate, effective, and delivered in a timely manner. You’ll contribute to improving member outcomes while helping manage healthcare resources responsibly. Key responsibilities include evaluating personal care and private duty nursing requests, ensuring alignment with clinical guidelines and member needs. You will be part of a mission-driven team focused on empowering members to live safely and independently within their communities. Your clinical expertise, critical thinking skills, and ability to navigate multiple systems will directly impact the quality of care our members receive.
Requirements
- Must be an Active unrestricted Licensed Practical Nurse in the state of Virginia
- Must reside in Eastern Standard Time Zone
- 3 years clinical experience (preferably in medical surgical nursing, behavioral health, long term care, etc.)
- Strong multitasking, prioritization, and computer navigation skills
- Comfort working in a performance-driven, evolving environment
- Completion of State Accredited Practical Nursing Program
Nice To Haves
- Typical office working environment with productivity and quality expectations
- Long Term Shared Services Supports Experience
- Managed Care Experience
Responsibilities
- Review medical records and treatment plans to ensure care is appropriate, effective, and delivered in a timely manner.
- Contribute to improving member outcomes while helping manage healthcare resources responsibly.
- Evaluate personal care and private duty nursing requests, ensuring alignment with clinical guidelines and member needs.
- Empower members to live safely and independently within their communities.
Benefits
- medical
- dental
- vision coverage
- paid time off
- retirement savings options
- wellness programs
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
