Aetna Care Management Associate in Phoenix, Arizona
Req ID: 37967BR
The Care Management Associate position is a Telework position, requiring at least one day per week in the office, as well as regular office attendance for meetings and training. The Telework status would not begin until after the initial training period of approximately 6-8 weeks.
The Care Management Associate position supports comprehensive coordination of medical services including care management team intake, screening and supporting the implementation of care plans to promote effective utilization of healthcare services. Promotes/ supports quality effectiveness of healthcare services.
Screens members for Integrated Care Management (ICM) criteria prior to assignment to care managers, to facilitate care management referrals. Supports the development and implementation of care plans. Promotes communication. Provides support services to team members by researching information and assisting in solving problems. Adheres to compliance standards. Maintains accurate and complete documentation. Protects confidential member information.
1-3 years experience as a medical assistant, office assistant OR Customer Service experience within the healthcare field.
Computer literacy in order to navigate through internal/ external computer systems, including Microsoft Word and Excel. Strong customer service skills. Ability to effectively participate in a multidisciplinary team.
Familiarity with basic medical terminology and care management concepts. Good organizational skills.
Behavioral Health experience is highly preferred.
The highest level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience.
LICENSES AND CERTIFICATIONS
Information Technology/ is desired
Functional - Administration / Operations/Data Entry/1-3 Years
Technical - Desktop Tools/TE Microsoft Excel/1-3 Years/System Support
Technical - Desktop Tools/Microsoft Word/1-3 Years/System Support
Technical - Desktop Tools/Microsoft Outlook//
General Business/Communicating for Impact/ADVANCED
General Business/Turning Data into Information/FOUNDATION
Benefits Management/Interacting with Medical Professionals/FOUNDATION
Service/Working Across Boundaries/FOUNDATION
ADDITIONAL JOB INFORMATION
The position is very independent. Must be a self-starter and able to prioritize tasks. Substantial training provided. Be part of a dynamic team making a difference for our members.
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