Aetna Field Case Manager-Medical in Alpharetta, Georgia
Req ID: 43608BR
Functions as central coordinator of care for post-acute members identified as having chronic disease processes, implementing and coordinating all case management activities. Responsible for developing and executing implementation plans to help reduce risk of readmission to acute care facility. Uses computer-based systems in daily work activities.
Responsible for comprehensive members of members post acute care discharge. Responsible for early identification and assessment of members telephonically, in their home and possibly in provider office or facility. Conducts regular discussions and updates with member, physician, and Multi-Disciplinary Team.
5 years clinical practice experience 2 years of case management experience 2 years of home care/hospice experience preferred Bilingual preferred Case management experience and CCM preferred Ability to travel within a designated geographic area for in-person case management activities Bilingual preferred
The minimum level of education desired for candidates in this position is a Associate's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Nursing/Registered Nurse is desired
Healthcare Management/Case Manager Society of America (CMSA) is desired
Functional - Nursing/Case Management/1-3 Years
Functional - Nursing/Discharge Planning/4-6 Years
Functional - Nursing/Home Health Care Ambulatory Nursing/1-3 Years
Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User
Technical - Remote Access/WAH (Work at Home)/1-3 Years/End User
Telework is a requirement for this position following training period in-office
ADDITIONAL JOB INFORMATION
Exceptional case management of Medicare members. Collaboration with MDT- Nurse Case Manager, Medical Director, Social Worker, Pharmacist, Behavioral Health. State-of-the-are electronic documentation system. Creativity in developing case plan with traditional and non-traditional resources. Educational opportunities to meet both personal and professional goals. Culture of value-driven team
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.
We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.
Together we will empower people to live healthier lives.
Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.
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Job Function: Health Care