Firm Name: Aetna

Numbers of Jobs: Case Management Coordinator

Education Need: Graduate

Job Hours: 8

Payment: $20-$30/Hours

What's Job City: Louisville

Job Details:

A description of the position.

 Aetna Better Health is hiring for numerous positions across the state of Kentucky and its regions. The Case Management Coordinator (CMC) supports the case management process by using critical thinking and professional judgment to facilitate and maintain improved healthcare outcomes for members. Through the use of care management tools and resources, this is accomplished by offering advocacy, collaboration coordination, support, and education to members.

 This is a telework position that requires regional in-state travel 80–90% of the time. A qualified applicant must possess reliable transportation. Additionally, it is anticipated that you will visit the Louisville office for conferences and training. Those in charge of this position will be Fulton, Hickman, Carlisle, Ballard, Graves, McCracken, Calloway, Marshall, Livingston, Lyon, Trigg, Crittenden, Caldwell, Hopkins, Christian, Muhlenberg, and Todd. Candidates who meet the requirements may reside in or close to the designated area.

 It is essential to be able to work outside of the typical 8 a.m. to 5 p.m. CST Monday through Friday hours. We occasionally have to work into the night to accommodate the needs of families and children.

 Evaluation of the Members:.

 The care management assessments and information/data review suggest a strategy for addressing care needs while preserving optimal health and well-being by examining the member's benefit plan and the available internal and external programs/services.

•  - Identifies high-risk components and unmet service needs that may affect members' outcomes and puts these into action with prompt, proactive support interventions.
•  Coordination, implementation, and oversight of wellness care plan activities and member care needs.
•  Enhancing the Quality and Appropriateness of Medical Care.
•  - Using a holistic approach, consults with case managers, supervisors, medical directors, and/or other health programs to remove barriers to achieving goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to get the best outcomes.
•  - Uses established channels to identify and escalate issues with the standard of care.
•  - Uses negotiating skills to secure the services and choices necessary to meet the member's benefit and/or medical needs.
•  - Makes use of persuasion and persuasion-based interviewing techniques to increase member engagement and encourage lifestyle and behavioral changes for the purpose of attaining the highest level of health.
•  - Provides coaching, information, and support to empower the member to make ongoing, independent medical and/or healthy lifestyle decisions.
•  - Helps members, with the help of their provider, make well-informed healthcare decisions.
•  monitoring, assessing, and documenting patient care.

 uses case management and quality management techniques in line with legal, accreditation, and corporate policies and procedures.

 Salary Range.

 For this position, the typical pay range is:.

•  at least 19.50.
•  maximum of 40 points.

 This pay range represents the Base Hourly Rate or Base Annual Full-Time Salary for all Positions in the Job Grade under which this Position is Classified. The actual base salary offered will depend on a number of factors, including experience, education, geography, and other relevant elements. This position is additionally qualified for a CVS Health bonus, commission, or short-term incentive program in addition to the aforementioned base pay range.

 In addition to your pay, benefit from working for a company that values its workers and the communities in which it operates. Comprehensive medical, dental, and vision benefits are offered by the company. Eligible employees may join the company's 401(k) retirement savings plan and take advantage of the Employee Stock Purchase Plan. A fully paid term life insurance plan, along with short- and long-term disability benefits, are provided by the Company to qualified employees. In addition to many wellness programs, educational assistance, free training sessions, CVS store discounts, and partner discounts, CVS Health offers a wide range of additional services. In addition to paid holidays throughout the year, employees of the company are also entitled to Paid Time Off (PTO) or vacation pay. Paid holidays, sick days, and other time off are provided in a variety of ways, as permitted by state law and business policy.

 For detailed information on the benefits provided, please visit.

 jobs. at cvshealth . com, benefits.

 Obligatory conditions.

 A minimum of six months' experience in the juvenile justice and foster care systems, adoption support, behavioral health service provision, trauma-informed care, ACEs, crisis intervention, or evidence-based practices that are pertinent to the SKY populations in Kentucky is required.

•  - A year or more's worth of experience in counseling, marriage and family therapy, social services, psychology, or sociology is needed.
•  - At least a year's worth of familiarity with Word and Excel from the Microsoft Office Suite.
•  -Able and willing to travel to their designated region to meet with members in person for 80–90% of their time.

 The candidate must reside in one of the following Kentucky counties: Fulton, Hickman, Carlisle, Ballard, McCracken, Graves, Calloway, Marshall, Livingston, Crittenden, Lyon, Trigg, Caldwell, Hopkins, Christian, Muhlenberg, or Todd, or an area close to those counties.

 Suitable qualifications.

 Experience in case management and discharge planning is preferred.

•  – Managed Care experience is preferred.
•  - 6+ months Strong preference for familiarity with growth and pertinent developmental milestones.

 Education.

•  It is necessary to have both a bachelor's and a master's degree in a field related to behavioral health or human services.