Description
We're building a world of health around every individual , shaping a more connected, convenient, and compassionate health experience.
This Analyst, Case Management Field position is with Aetna's Long Term Services & Supports (LTSS) team and is a field-based position out of the Macon County area of Illinois.
Job Responsibilities As an Analyst, Case Management Field, you will facilitate appropriate healthcare outcomes for waiver/LTSS members by providing care coordination, support, and education for members through the use of care management tools and resources.
Key responsibilities include:
- Conducting comprehensive evaluations of referred members' needs and eligibility
- Recommending approaches to case resolution and/or meeting needs
- Coordinating and implementing assigned care plan activities and monitoring care plan progress
- Identifying high-risk factors and service needs that may impact member outcomes and care planning components
- Utilizing negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs
- Providing coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices
Requirements
- Must reside in the state of Illinois in Macon County Illinois area
- Valid Illinois Driver's license
- Willing and able to travel up to 75% of their time to meet with members face-to-face
- Reliable Transportation required, eligible for mileage reimbursement as per company policy
- Minimum of two (2) years of case management experience
- Microsoft Office and electronic health record experience
Preferred Qualifications
- Case management and discharge planning experience preferred
- Managed Care experience preferred
- Microsoft Office experience preferred
Education
- Individual with a bachelor's degree or a non-licensed individual with a master's degree, with either degree being in a human-services field (including, but not limited to sociology, special education, rehabilitation counseling)
Salary and Benefits The typical pay range for this role is: $21.10 - $44.99 per hour. This position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families.