Case Manager

We are seeking a Case Manager to join our Aetna team, focusing on serving dual eligible populations with complex health and social challenges. As a Case Manager, you will use a collaborative process to assess, plan, facilitate, coordinate, evaluate, and advocate for options and services to meet an individual's and family's comprehensive health needs.

Key Responsibilities:

• Conduct comprehensive assessments of referred members' needs and determine approaches to case resolution
• Apply clinical judgment to incorporate strategies designed to reduce risk factors and address complex clinical indicators
• Perform crisis intervention and refer members to appropriate clinical providers
• Collaborate with supervisors, Medical Directors, and other programs to overcome barriers to meeting goals and objectives
• Identify and escalate quality of care issues
• Utilize influencing and motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes
• Provide coaching, information, and support to empower members to make ongoing independent medical and healthy lifestyle choices

Requirements:

• 3-5 years of clinical experience
• 2-3 years of case management, discharge planning, or home health care coordination experience
• Reliable transportation and willingness to travel up to 50-75% in designated areas
• Excellent analytical, problem-solving, communication, organizational, and interpersonal skills
• Proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint

Preferred Qualifications:

• Certified Case Manager certification
• Bilingual

Education and License:

• Master's degree in Behavioral/Mental Health or related field
• LCSW or LCPC license in the state of Illinois

Salary and Benefits:

• The typical pay range for this role is $66,575.00 - $142,576.00 per year
• Comprehensive benefits package, including medical, dental, and vision coverage, paid time off, retirement savings options, and wellness programs