Case Management Coordinator (Field - Must reside in Washington County, IL_

Remote Full-time
At Aetna, we believe in providing quality care and support to our members every day. We are currently seeking a dedicated and experienced Case Management Coordinator to join our team in Washington County, IL. As a Field Case Management Coordinator, you will play a vital role in ensuring that our members receive the best possible care and resources to manage their health and well-being. If you are passionate about making a positive impact in people's lives and have the necessary qualifications, we invite you to join our team and be a part of our mission to improve the healthcare experience for all. Conduct comprehensive assessments of members' health needs and develop individualized care plans to meet their specific needs and goals. Collaborate with healthcare providers, community resources, and other stakeholders to coordinate and facilitate the delivery of quality healthcare services for members. Monitor and evaluate the effectiveness of care plans, making necessary adjustments and referrals as needed. Serve as a liaison between members, healthcare providers, and insurance companies to ensure seamless and efficient communication. Educate members on their benefits and resources available to them, as well as promote self-management of their health conditions. Document all interactions and interventions with members and maintain accurate and up-to-date case files. Identify and address barriers to care, such as social determinants of health, and connect members with appropriate resources to overcome these barriers. Collaborate with interdisciplinary teams to identify and implement best practices for case management and improve overall quality of care. Stay current with industry trends and best practices in case management to continuously improve the services provided to members. Adhere to all company policies and procedures, as well as state and federal regulations, to ensure compliance with ethical and legal standards. Aetna is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Apply tot his job
Apply Now

Similar Opportunities

Senior Manager, Quality Care - Aetna Mercy Care AZ - RN

Remote

Associate Director, Affiliate Performance Marketing

Remote

Algorithm Engineer-Mandarin Speaker

Remote

AI Powered Systems Analyst

Remote

Data Storyteller & AI Analyst: Transform Gen Z Student Research into Strategy Guides - Contract to Hire

Remote

[Remote] AI Agent Evaluation Analyst for Autonomous Agents (No coding required)

Remote

AI Automation Developer for Gemini API & Workflow Automation

Remote

Experienced AI Developer Needed for Automations & CRM Integrations (Python, n8n, Make) - Contract to Hire

Remote

Zoho One Automation - AI Systems Specialist

Remote

Automation and AI Specialist

Remote

Lifecycle Marketing, Senior Manager

Remote

[Hiring] IRB Administrator II @Children’s Minnesota

Remote

Senior Software Engineer – Kubernetes

Remote

Experienced Customer Service Consultant – Aetna Answer Team Specialist for Delivering Exceptional Client Experiences in a Fast-Paced Call Center Environment at blithequark

Remote

Experienced Loan Servicing Customer Service Representative – Remote Opportunity for Real Estate Loan and Lending Servicing Experts in the USA

Remote

Wells Fargo Part Time Data Entry Jobs @Remote $26/Hour – VacancyGlobal – Vacancy Global

Remote

**Experienced Part-time Remote Data Entry Specialist – Financial Services at blithequark**

Remote

Experienced Customer Care Specialist II – Full Time or Part Time Remote Opportunity for Outstanding Service Professionals

Remote

Coding Education Coordinator and Trainer Remote

Remote

Experienced Remote Customer Service and Data Entry Representative for Claims Coordination Team at blithequark

Remote
← Back to Home