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Aetna Rn Jobs in Kansas (NOW HIRING)

Staff may be required to contact the providers of record, vendors, or internal Aetna departments to ... Active and unrestricted RN licensure in state of residence Questionnaire: * Do you have experience ...

Case Manager, Registered Nurse

Topeka, KS · Remote

$54.10K - $155.54K/yr

American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna ... A RN who resides in a compact state is required to have an active multistate license through the ...

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Aetna Rn information

See Kansas salary details

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$1.8K

$2.6K

How much do aetna rn jobs pay per week?

As of May 31, 2026, the average weekly pay for aetna rn in Kansas is $1,833.46, according to ZipRecruiter salary data. Most workers in this role earn between $1,544.23 and $2,117.31 per week, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an Aetna RN, and why are they important?

To thrive as an Aetna RN, you need an active RN license, strong clinical assessment skills, and a thorough understanding of care management and utilization review processes. Familiarity with healthcare management software, telehealth platforms, and case management systems like CareAdvance or GuidingCare is typically required. Excellent communication, critical thinking, and organizational abilities are vital soft skills in this role. These skills ensure effective patient advocacy, accurate assessments, and efficient coordination of care in a managed care environment.

How does an Aetna RN typically collaborate with other healthcare professionals to coordinate patient care?

An Aetna RN regularly communicates with physicians, care managers, social workers, and other clinical staff to ensure each patient receives comprehensive, coordinated care. This collaboration often involves case conferences, care planning meetings, and ongoing updates via electronic health records or secure messaging platforms. The RN acts as a key liaison, advocating for the patient’s needs while facilitating the exchange of relevant medical information between all parties. Building strong professional relationships and maintaining clear communication are essential to delivering effective, patient-centered care in this role.

What are Aetna RNs?

Aetna RNs are registered nurses employed by Aetna, a major health insurance company, to provide clinical support, case management, and care coordination for members. They often work in roles such as telehealth, utilization management, or disease management, helping patients navigate their health plans, understand their conditions, and access appropriate care. Aetna RNs frequently interact with members over the phone or online, focusing on improving health outcomes and ensuring effective use of healthcare resources.

What is the difference between Aetna Rn vs Aetna Lpn?

AspectAetna RnAetna Lpn
Required CredentialsRegistered Nurse license (RN)Licensed Practical Nurse license (LPN)
Work EnvironmentHospitals, clinics, home healthLong-term care, clinics, home health
Employer & Industry UsageHealthcare providers, insurance companiesLong-term care facilities, outpatient clinics
Common Search & ComparisonYesYes

The main difference between an Aetna Rn and an Aetna Lpn lies in their credentials and scope of practice. RNs hold a registered nurse license and typically perform more complex patient care, while LPNs have a practical nursing license with a more limited scope. Both roles work in healthcare settings, but RNs often have broader responsibilities and higher earning potential.

Infographic showing various Aetna Rn job openings in Kansas as of May 2026, with employment types broken down into 14% Locum Tenens, 2% Internship, 68% Full Time, 12% Part Time, 2% Contract, and 2% Summer. Highlights an 90% Physical, and 10% Remote job distribution, with an average salary of $95,340 per year, or $45.8 per hour.
Registered Nurse

Other

Posted 28 days ago


Job description

Wichita, KS

Contract

Job Description:

  • Participates in the development and ongoing implementation of QM Work Plan activities.

  • Improve quality products and services, by using measurement and analysis to process, evaluate and make recommendations to meet QM objectives

Responsibilities:

  • Reviews documentation and evaluates Potential Quality of Care issues based on clinical policies and benefit determinations.

  • Considers all documented system information as well as any additional records/data presented to develop a determination or recommendation.

  • Data gathering requires navigation through multiple system applications.

  • Staff may be required to contact the providers of record, vendors, or internal Aetna departments to obtain additional information.

  • Evaluates documentation/information to determine compliance with clinical policy, regulatory and accreditation guidelines.

  • Responsible for the review and evaluation of clinical information and documentation.

  • Reviews documentation and interprets data obtained form clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues.

  • Works Potential Quality of Care cases across all lines of business (Commercial and Medicare).

  • Independently coordinates the clinical resolution with internal/external clinician support as required.

  • Processes and evaluates complex data and information sets -Converts the results of data analysis into meaningful business information and reaches conclusions about the data

  • Prepares and completes QM documents based on interpretation and application of business requirements

  • Documents QM activities to demonstrate compliance with business, regulatory, and accreditation requirements

  • Assists in the development and implementation of QM projects and activities

  • Accountable for completing and implementation of QM Work Plan Activities

Experience:

  • 3+ years of experience as an RN

  • Registered Nurse in state of residence

  • Must have prior authorization utilization experience

  • Experience with Medcompass

Skills:

  • MUST HAVE MEDCOMPASS or ASSURECARE exp.

  • MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge.

  • MUST HAVE UM experience, inpatient utilization management review.

  • MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT EXP, pref. knowledge of Milliman/MCG.

  • MUST HAVE 6 months of Prior Authorization.

Education:

  • Active and unrestricted RN licensure in state of residence

Questionnaire:

  • Do you have experience with Medcompass?

  • Do you have experience with Prior Authorization?

  • Do you have experience with Utilization Review?

  • Do you have an Active Registered Nurse License?

About US Tech Solutions:

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com (http://www.ustechsolutionsinc.com) .

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.


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About US Tech Solutions

Sourced by ZipRecruiter

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.

Industry

It services

Company size

1,001 - 5,000 Employees

Headquarters location

Jersey City, NJ, US

Year founded

2000

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