About the position
This Analyst Case Management position is with Aetna's Long-Term Services and Supports (LTSS) team and is a field-based position out in zip code 33142 or 33147, or surrounding areas. The requirements is for candidates to travel 50-75% of the time to meet with members face to face. Schedule is Monday-Friday, 8:00am-5:00pm, standard business hours. We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our Case Management team. This opportunity offers a competitive salary and full benefits. Our organization promotes autonomy through a Monday Friday working schedule, paid holidays, and flexibility as you coordinate the care of your members. Case Management Coordinator is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. Case Management Coordinator will effectively manage a caseload that includes supportive and medically complex members. Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration. Case Management Coordinators will determine appropriate services and supports due to member's health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports.
Responsibilities
- Telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members.
- Evaluate the medical needs of the member to facilitate the member's overall wellness.
- Manage a caseload that includes supportive and medically complex members.
- Develop a proactive course of action to address issues presented to enhance short and long-term outcomes.
- Determine appropriate services and supports due to member's health needs.
Requirements
- Must reside in zip code 33142 or 33147 or surrounding areas.
- Bilingual, English and Spanish.
- Willing and able to travel 50-75% of their time to meet members face to face in Miami Dade county and surrounding areas in FL.
- 1+ year of experience in behavioral health or a long-term care setting.
- 3+ years Case Management Experience.
Nice-to-haves
- Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment.
- Effective communication skills, both verbal and written.
- Managed Care experience.
- Computer proficiency in Microsoft Word, Excel, and Outlook required.
- Case management and discharge planning experience.
Benefits
- Affordable medical plan options.
- 401(k) plan (including matching company contributions).
- Employee stock purchase plan.
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
