Aetna work from home tele case manager rn

jtnurse13 · Sep 13, 2013

I don't personally have experience, but my cousin has done it for years. She loves it!

cc_RN · Sep 14, 2013

Thanks for the feedback!

tiddles · Oct 11, 2013

I was told by a potential employer that it's not a job you can do and watch kids at the same time. You have to have a dedicated work space without any distractions.

LPN2BSNRN · Oct 11, 2013

I work for United Healthcare currently and work from home, I am LPN however, and I was chosen for WAH (work at home in 2010) after 6 years.. I work in utilization review. Most companies do not allow WAH immediately, it is based on productivity in most cases, because there are costs associated with setting someone up to work from home. Also, they require you to sign an agreement that includes, that you have a separate area (room) that can be locked to protect PHI and that you are free from distractions, etc. As most of the jobs are based on metrics, and insurance companies work on state required turn around times, you have to be prepared for as stressful of an environment as the hospital. Everyone always thinks just because you work from home, you have time to talk on the phone or visit if they drop by.. you cannot do this, you are monitored by supervisor by system that knows when you are away from your desk, etc. Just find out all the particulars of the position before agreeing, and if you are okay with it, then it can be beneficial, especially regarding clothing and gas. In most cases, you do have to go into the office occasionally (one or two times/month) for meeting and training.

Good Luck with it.

MatrixRn · Nov 4, 2013

LPNTOBSNRN nice post. I would also add that there are noise and break rules. By that I mean when the managers listen to the calls there is an expectation that children crying, spouses talking or dogs barking will not be heard in the background. This is a major no-no and a reprimand-able offense.

As to break rules, folks can be assigned break times, and that is time off of the phone. The managers can see when someone is not on the phone. So if someone is away to long they may get a call from their manager.

In addition, they can also see everything that is on your computer screen. Remember the equipment belongs to the company, so there should be no expectation of privacy.

cc_RN · Nov 5, 2013

Thanks for the insight !

RN In FL · Nov 7, 2013

I work for United Healthcare currently and work from home, I am LPN however, and I was chosen for WAH (work at home in 2010) after 6 years.. I work in utilization review. Most companies do not allow WAH immediately, it is based on productivity in most cases, because there are costs associated with setting someone up to work from home. Also, they require you to sign an agreement that includes, that you have a separate area (room) that can be locked to protect PHI and that you are free from distractions, etc. As most of the jobs are based on metrics, and insurance companies work on state required turn around times, you have to be prepared for as stressful of an environment as the hospital. Everyone always thinks just because you work from home, you have time to talk on the phone or visit if they drop by.. you cannot do this, you are monitored by supervisor by system that knows when you are away from your desk, etc. Just find out all the particulars of the position before agreeing, and if you are okay with it, then it can be beneficial, especially regarding clothing and gas. In most cases, you do have to go into the office occasionally (one or two times/month) for meeting and training.
Good Luck with it.

I think its a great idea to train in the office first then "go home". I did 4 wks of training at corporate office, then straight to wah. I feel like a fish out of water. The 4 wks was basically learning the systems. Not the job. Not a good feeling "fumbling around", then your super, saying. I have already told you that. You can't reach over the cubie to ask your neighbor anything

Mia83 · Dec 1, 2013

I currently WAH and you guys gave very good advice and comments. WAH is exactly what it states" Work At Home" my plans are to finish school and transfer as well in the Utilization Review Department or Clinical Consultation . I love my job and very blessed to work from home.

Mia83 · Dec 1, 2013

How long were you a LPN upon receiving your position in utilization Review? Thanks

Rntr · Mar 22, 2014

I found your post interesting as this is what I am considering too. I am probably going to sign up for a coding class as I think this will help in this direction.

Are you working on a nursing degree? Thanks

RN In FL · Mar 22, 2014

I worked with Aetna for 7 yrs, before leaving the company, due to illness. It is a great company to work for. I left in good standing, and want to return. I currently work for "The other leading brand", and it is stressful.(WAH) I have applied for the jobs with Aetna, being a returning EE, in good and the "talent search team", always reply back with, they have somebody else or what have ya. I would love to hear if anybody has been hired, they are constantly posting jobs. Many of the WAH with Aetna is actually a subsidiary of Aetna, called American Health Holdings. I did get the inside scoop on that. I do agree with another poster, regarding having little ones and WAH. There is no way, really. There are conference calls, rounds, and staff meetings at the drop of a hat, that you have to call into. I truly believe all of the HMO's are the same in that respect. Also, you must be able to STOP WORKING AT 5PM. Shut her down!!! you tend to want to "catch up", because you are home. You will end up sitting at that 'puter for 12 hrs easy. Seems like all I do is walk my dog anymore. Its very confining. You are mentally tired to do nothing but log off, get supper, go to bed, and back at the puter. Sometimes I think I would rather go on into the office, however it is nice without the office politics and distractions.