Juvenile Justice Care Management Coordinator (CMC)

Aetna Better Health is hiring a Juvenile Justice Care Management Coordinator (CMC) to work in the Jefferson Region of Kentucky. The CMC will utilize critical thinking and clinical judgment to collaborate and implement the case management process, facilitating appropriate juvenile justice and healthcare outcomes for members.

Responsibilities:

• Evaluate members through care management assessments and information/data review to recommend approaches to resolving care needs
• Identify high-risk factors and service needs that may impact member outcomes and implement early and proactive support interventions
• Coordinate and implement Wellness care plan activities and monitor member care needs
• Consult with case managers, supervisors, Medical Directors, and other health programs to overcome barriers to meeting goals and objectives
• Identify and escalate quality of care issues through established channels
• Utilize negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs
• Provide coaching, information, and support to empower members to make ongoing independent medical and/or healthy lifestyle choices
• Help members actively and knowledgably participate with their provider in healthcare decision-making

Requirements:

• Experience and functional knowledge with the Juvenile Justice systems
• Experience or detailed knowledge of the Foster Care systems, Adoption Assistance, the delivery of Behavior Health Services, Trauma-informed Care, ACEs, Crisis Intervention services, and evidence-based practices applicable to the Kentucky SKY populations
• 2 years' experience in behavioral health, social services, or juvenile justice
• Computer literacy and demonstrated proficiency in MS Office Suite applications, including Word and Excel

Preferred Qualifications:

• Managed Care experience preferred
• Case management and discharge planning experience preferred

Education:

• Minimum of a bachelor's degree or a non-licensed master-level clinician in behavioral health or a relevant human services field of study

Technical and Logistical Requirements:

• Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously
• Ability to communicate on digital channels such as via email, calendar invites, Teams messaging, and virtual meetings
• Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) applications or similar
• Ability to log in to secure systems, lock a computer screen when unattended, manage strong passwords, and recognize suspicious emails or links

Benefits:

• Comprehensive benefits package, including medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources

Salary Range: $21.10 - $36.78 per hour