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
- Evaluate members' needs and eligibility, and recommend approaches to case resolution
- Identify high-risk factors and service needs, and refer to clinical case management or crisis intervention as needed
- Coordinate and implement care plan activities, and monitor progress
- Enhance medical appropriateness and quality of care through consultation with case managers, supervisors, and Medical Directors
- Identify and escalate quality of care issues
- Utilize negotiation and motivational interviewing skills to secure services and promote lifestyle changes
- Provide coaching and support to empower members to make independent medical and healthy lifestyle choices
- Engage in ongoing team meetings and offer peer mentoring
Requirements
- 2+ years of experience in behavioral health, social services, or a related field
- 2+ years of experience with electronic documentation and Microsoft Office applications
- Bachelor's degree or non-licensed master's degree in behavioral health or human services
- Reside in Will County, Illinois
- Willingness to travel 50-75% of the time in Will County and surrounding areas
Benefits
- Comprehensive benefits package, including medical, dental, and vision coverage, paid time off, retirement savings options, and wellness programs