Aetna Case Management Coord in Chicago, Illinois

Req ID: 38116BR

POSITION SUMMARY

Utilizes 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:

Evaluation of Members:-Through the use of care management tools and information/data review, conducts

comprehensive evaluation of referred members needs/eligibility and recommends an approach to case resolution

and/or meeting needs by evaluating members benefit plan and available internal and external programs/services.

Identifies high risk factors and service needs that may impact member outcomes and care planning components with

appropriate referral to clinical case management or crisis intervention as appropriate.

  • Coordinates and implements assigned care plan activities and monitors care plan progress.

    BACKGROUND/EXPERIENCE desired:

    Managed Care experience preferred

    Case management and discharge planning experience preferred

    2 years experience in behavioral health, social services or appropriate related field equivalent to program focus

    EDUCATION

    The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.

    FUNCTIONAL EXPERIENCES

    Functional - Customer Service//1-3 Years

    Functional - Medical Management/Medical Management - Case Management/1-3 Years

    ADDITIONAL JOB INFORMATION

    opportunity for work at home after proven productivity.

    Wellness benefits

    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.

Job Function: Health Care