Aetna Case Management Coordinator in Carefree, Arizona

Req ID: 42711BR

POSITION SUMMARY

This position uses critical thinking and judgment to collaborate and inform the case management process in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.

Fundamental components include, but are not limited to:

  • Case management coordination for Long Term Care members.

  • Case Management Coordinators travel to members' places of residence and complete assessments to ensure member safety and medical needs are met, and services are provided.

  • Authorizes comprehensive home and community based and institutional healthcare services to facilitate delivery of appropriate quality healthcare, promote cost effective outcome and improve program/operational efficiency involving clinical issues.

  • Exercises independent decision making regarding member safety.

    Qualification Requirements:

  • Minimum of 2 years of related experience working with people who have physical disabilities, are elderly or have behavioral health needs required.

  • Organization, collaboration and time management required.

    Education:

    The minimum level of education required for candidates in this position is a Bachelor's degree in a Social Science or Behavioral Science area (Psychology, Sociology, Education, etc.), or a Nursing Degree.

    REQUIRED SKILLS

    Benefits Management/Encouraging Wellness and Prevention/ADVANCED

    Benefits Management/Maximizing Healthcare Quality/FOUNDATION

    Benefits Management/Interacting with Medical Professionals/ADVANCED

    DESIRED SKILLS

    General Business/Applying Reasoned Judgment/ADVANCED

    Leadership/Collaborating for Results/ADVANCED

    Leadership/Driving a Culture of Compliance/FOUNDATION

    ADDITIONAL JOB INFORMATION

    Authorizes comprehensive home and community based and institutional healthcare services to facilitate delivery of appropriate quality healthcare, promote cost effective outcome and improve program/operational efficiency involving clinical issues. Exercises independent decision making regarding member safety.

    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.

    We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

    Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

    Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Job Function: Health Care