Aetna Care Management Associate in Plano, Texas

Req ID: 42864BR

POSITION SUMMARY

Case Manager Assistance working closely with nurses and providers to obtain medical information and secure return to work status

Fundamental Components:

? Contact provider for treatment plan, follow up appointment dates, referral assistance, & RTW

? Channel to Network when applicable

? Update the employer/location regarding all status changes and confirm RTW

? Work with the employer to facilitate RTW

? Update adjuster on treatment and work status

? Optional contact with employee to schedule appointments

BACKGROUND/EXPERIENCE desired:

2-4 years experience as a medical assistant, office assistant.

EDUCATION

The highest level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience.

FUNCTIONAL EXPERIENCES

Functional - Customer Service/Customer service - Medical billing/1-3 Years

Functional - Clinical / Medical/Clinical claim review & coding/1-3 Years

TECHNOLOGY EXPERIENCES

Technical - Aetna Applications/DocFind/1-3 Years/End User

Telework Specifications:

Full Time Telework WAH

ADDITIONAL JOB INFORMATION

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.

Job Function: Health Care