Description
We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.
Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. As a Case Management Coordinator, you will have life-changing impact on our members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges.
Responsibilities The Case Management Coordinator utilises critical thinking and judgement to collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources.
Requirements
- Must reside in the state of Illinois
- Must possess reliable transportation and be willing and able to travel up to 75% of the time from home location in and around Central Illinois
- Minimum 3-5 years clinical practical experience
- Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually
- Excellent analytical and problem-solving skills
- Effective communications, organisational, and interpersonal skills
- Ability to work independently
- Effective computer skills including navigating multiple systems and keyboarding
- Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications
Preferred Qualifications
- 2-3 years Care Management, discharge planning and/or home health care coordination experience
- Certified Case Manager
- Bilingual
Education Associate's degree required, bachelor's preferred
License Active and unencumbered Registered Nurse license in the state of Illinois
Work from Home Requirements
- You must have or be able to obtain a direct/hardwired internet connection to a modem/router within 7 feet of your computer and a minimum download speed of 25 mbs download and 3 mbs upload
- A quiet, secure and private designated home virtual work location, free from distractions, tidy and organised, compliant with CVS Health and HIPAA guidelines, and allowing for uninterrupted work during work hours
Technical and Logistical Requirements
- Device & System Navigation: Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously to streamline tasks and improve efficiency
- Communication Tools: Ability to communicate on digital channels such as via email, calendar invites, Teams messaging, and virtual meetings
- Collaboration & Scheduling: Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) applications or similar (Google Workspace)
- Systems Access & Security: Ability to Log in to secure systems (e.g., VPN, EHR portal), lock a computer screen when unattended, manage strong passwords, and recognise suspicious emails or links
- Troubleshooting & Support: Ability to resolve common technical issues independently
- Future Growth: Openness to learning new skills in the future as the workplace environment evolves
Anticipated Weekly Hours 40
Time Type Full time
Pay Range $66,575.00 - $142,576.00
Benefits This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.