Description
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