Aetna Case Management Coord in Tucson, Arizona

Req ID: 46308BR

POSITION SUMMARY

This position 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:

Case management for long term care members who reside in Maricopa. Case Managers travel to members homes and places of residence and complete assessments to ensure member safety, medical needs are met and services are provided

BACKGROUND/EXPERIENCE:

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

Managed Care experience preferred

Case management and discharge planning experience preferred

EDUCATION

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

REQUIRED SKILLS

Benefits Management/Encouraging Wellness and Prevention/ADVANCED

Benefits Management/Maximizing Healthcare Quality/FOUNDATION

Benefits Management/Interacting with Medical Professionals/ADVANCED

DESIRED SKILLS

Leadership/Driving a Culture of Compliance/FOUNDATION

Leadership/Collaborating for Results/ADVANCED

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