Description
We're building a world of health around every individual , shaping a more connected, convenient, and compassionate health experience.
Aetna Better Health is hiring a Case Management Coordinator (CMC) to support the case management process, facilitating improved healthcare outcomes for members by providing advocacy, collaboration, coordination, support, and education.
Job Details:
- This is a Field position requiring regional in-state travel 80-90% of the time.
- You must have reliable transportation and be able to travel to the Louisville office for meetings and training.
- Visits to member's homes, schools, hospitals, doctor's offices, and DCBS offices are expected.
- This position is assigned to the Jefferson Region, Jefferson County, and you must reside in Jefferson County.
- Flexibility to work beyond core business hours (Monday-Friday, 8am-5pm EST) is required.
Key Responsibilities:
- Evaluate members using care management assessments and data review to recommend approaches for resolving care needs.
- Identify high-risk factors and service needs, implementing 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 and achieve optimal outcomes.
- Identify and escalate quality of care issues through established channels.
- Utilize negotiation and motivational interviewing skills to secure appropriate services and promote lifestyle changes.
- Provide coaching and support to empower members to make independent medical and healthy lifestyle choices.
- Help members actively participate with their providers in healthcare decision-making.
- Utilize case management and quality management processes in compliance with regulatory and accreditation guidelines.
Requirements:
- Minimum 6 months of experience in Foster Care, juvenile justice systems, Adoption Assistance, Behavioral Health Services, Trauma-informed Care, ACEs, Crisis Intervention services, or evidence-based practices applicable to the Kentucky SKY populations.
- Minimum 2 years of experience in behavioral health, social services, social work, psychology, sociology, marriage and family therapy, or counseling.
- Minimum 1 year of experience with MS Office Suite applications, including Word and Excel.
- Ability to travel 80-90% of the time.
- Must reside in Jefferson County.
Preferred Experience:
- 3+ years of experience in behavioral health, social services, social work, psychology, sociology, marriage and family therapy, or counseling.
- 1+ year of MCO experience.
Education:
- Minimum of a Bachelor’s or Master’s degree in behavioral health or a relevant human services field of study (social work, psychology, marriage and family therapy, counseling).
Salary and Benefits:
- The typical pay range for this role is $21.10 - $36.78 per hour.
- This position is eligible for a comprehensive benefits package, including medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources.