Aetna Insurance Careers – Case Management Coordinator

Job Description:

This role is work from home with travel required in Maricopa County, Arizona to visit members once COVID restrictions are lifted.

Job Responsibilities:

• Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
• Coordinates and implements assigned care plan activities and monitors care plan progress
• Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
• Uses a holistic approach to overcome barriers to meet goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.
• Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs.
• Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referrals.
• Utilizes case management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
• Helps member actively and knowledgably participate with their provider in healthcare decision-making. Monitoring, Evaluation, and Documentation of Care;
• Identifies and escalates quality of care issues through established channels.

Job Requirements:

• 2+years’ Case Management experience working with people who have been designated as having a serious mental illness (SMI) and working with people who are elderly or have a physical disability. Critical areas to succeed- organization, collaboration and time management.
• 1+ documenting electronically using keyboard and multiple computer screens– navigating through internal/external computer systems, and MS Office Suite applications, including Word and Excel
• 1+ years Experience collaborating with medical professionals
• Bachelor’s degree in (social work, psychology, special education or counseling) or be a licensed registered nurse with BH experience

Job Details:

Company: Aetna

Vacancy Type:  Full Time

Job Location: Phoenix, AZ, US

Application Deadline: N/A

Apply Here

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