Aetna Remote Jobs @ Get Dream Job

Aetna; Saint Paul (MN); Remote; USD 28,000 - 41,000; Full time

Benefits offered by this job

Health benefits

Dental benefits

Vision benefits

401(k) plan

Stock purchase plan

Life insurance

Disability benefits

Wellness programs

Educational assistance

Paid time off

Job summary

Aetna is seeking a case management coordinator in the United States to coordinate care, support, and training for members using care management tools and resources. You will conduct audits, plan care activities, and promote optimal health outcomes through collaboration with multidisciplinary teams.

The role requires critical thinking, negotiation, and motivational interviewing to engage members and providers. Experience with care management processes and quality control is essential.

Qualifications

• Bachelor's degree or higher required.

Responsibilities

• Plan and implement assigned care plan activities and monitor care plan progress.
• Conduct multidisciplinary research to achieve the best results.
• Identify and expand the quality of care through established channels.
• Use negotiation skills to obtain the appropriate options and services needed to meet the member's health care needs and/or benefits.
• Use effective/motivational interviewing skills to ensure maximum team engagement and promote lifestyle/behavioral changes to achieve optimal health.
• Provide guidance, information and support to enable the member to make healthy and personal health and/or lifestyle choices.
• Help the member to actively and effectively work with their provider in making health care decisions.
• Use case management and quality control procedures based on legal and accreditation standards and company policies and procedures.

Skills

Critical thinking

Care coordination

Data analysis

Negotiation

Motivational interviewing

Provider collaboration

Case management

Quality control

Education

Bachelor's Degree

Job description

Job Responsibilities

Job Responsibilities: Case Manager Salary: $20-30/Hour Company: Aetna Location: USA Educational Requirements: Bachelor's Degree Full Job Description: As a case management coordinator, you will use critical thinking in collaborative cases and inform the case management process. To ensure appropriate health care outcomes for members, you will coordinate care, support and training members using care management tools and resources. You will conduct comprehensive audits using management tools and information/data analysis. In this role, you will also have: - Plan and implement assigned care plan activities and monitor care plan progress. - Conduct multidisciplinary research to achieve the best results. - Identify and expand the quality of care through established channels. - Use negotiation skills to obtain the appropriate options and services needed to meet the member's health care needs and/or benefits. - Use effective/motivational interviewing skills to ensure maximum team engagement and promote lifestyle/behavioral changes to achieve optimal health. - Provide guidance, information and support to enable the member to make healthy and personal health and/or lifestyle choices. - Help the member to actively and effectively work with their provider in making health care decisions. - Use case management and quality control procedures based on legal and accreditation standards and company policies and procedures. The rate of pay represents the regular hourly or monthly rate of pay for all positions and job classes covered by this position. The actual salary will depend on various factors, including experience, education, geography and other important factors. This position is eligible for CVS Health cash, commissions, or part-time incentive programs in addition to the compensation limits listed above. In addition to your compensation, earn the rewards of an organization dedicated to caring for our colleagues and our community. The company offers comprehensive health, dental and vision benefits. Eligible employees can enroll in the company's 401(k) retirement savings plan, and employee stock purchase plans are also available to eligible employees. The company offers eligible employees a full term life insurance plan, as well as short and long term disability benefits. CVS Health also offers many wellness programs, educational assistance, free development courses, CVS store discounts and rewards programs with participating partners. In terms of time off, company employees are entitled to paid time off (PTO) or vacation time, as well as vacation time during the calendar year. Vacation pay, sick time and other vacation time are provided in accordance with state laws and company policies.

• Plan and implement assigned care plan activities and monitor care plan progress.
• Conduct multidisciplinary research to achieve the best results.
• Identify and expand the quality of care through established channels.
• Use negotiation skills to obtain the appropriate options and services needed to meet the member's health care needs and/or benefits.
• Use effective/motivational interviewing skills to ensure maximum team engagement and promote lifestyle/behavioral changes to achieve optimal health.
• Provide guidance, information and support to enable the member to make healthy and personal health and/or lifestyle choices.
• Help the member to actively and effectively work with their provider in making health care decisions.
• Use case management and quality control procedures based on legal and accreditation standards and company policies and procedures.