Aetna Job Opportunities – High Fidelity Case Analyst

Job Description:

The High-Fidelity Wraparound (HFW) Case Manager is a person who safeguards that the principles of the wraparound process are delivered with the highest possible fidelity to the model.
The HFW CM offers consultation and education to all providers regarding the values of the wraparound process, monitors progress toward goals, and assures that all necessary data for evaluation are gathered and entered. The HFW CM helps the youth and family develop and integrate their natural support system and to manage their own services, supports, and plan.

Job Responsibilities:

• Working in full partnership with the High-Fidelity team members to develop and implement a service plan, identifying providers of services or natural supports,
• presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.
• Facilitating High Fidelity team meetings
• Coordinates and implements assigned care plan activities and monitors care plan progress.
• Actively conducting regular home visits, monitoring all services
• Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives
• Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate engagement of clinical case management or crisis intervention as appropriate.
• The HFW CM is responsible for completing a comprehensive strengths-based assessment/screening (Health Risk Questionnaire, Pediatric assessment, and any other applicable) of the individual

Job Requirements:

• One year of experience providing Total Case Management services to children/youth with Severe Emotional Disturbance and their families
• Valid Driver’s License
• Experience building strong relationships and partnerships with families and natural support systems utilizing strengths-based approach to safety planning, development of a family support team, and future planning for the purpose of maintaining children in in the least restrictive environment- maintaining their home, school, and community placement.
• Experience engaging youth and families in developing, implementing, and monitoring an intensive, measurable, individualized plan of care.
• Experience facilitating family teams using person centered thinking and systems of care for those experiencing complex behavioral health challenges.
• Proven ability to analyze complex information and to define and solve problems with a team who may have diverse points of view.
• Experience or detailed knowledge of the Foster Care and juvenile justice systems, Adoption Assistance, the delivery of Behavior Health Services, Trauma-informed Care, ACEs, Crisis Intervention Services, and evidence-based practices applicable to the Kentucky SKY population
• Bachelors Degree in Human Services related field
• Knowledge of and experience with leveraging natural and paid local community resources to assist with team’s identified unmet needs.
• Must be eligible for High Fidelity certification

Job Details:

Company: Aetna

Vacancy Type:  Full Time

Job Location: Louisville, KY, US

Application Deadline: N/A

Apply Here

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