Case Management Analyst - Field in Northern Virginia, Arlington or Surrounding Areas
About The Position
Aetna’s Long-Term Services and Supports (LTSS) program is seeking a member-focused Case Management Analyst to support individuals and families across Northern Virginia. This field-based role involves face-to-face visits with members, listening to their needs, advocating for them, and helping them navigate health and social services. The analyst conducts comprehensive assessments of medical, behavioral, and social needs; develops and implements individualized care plans; coordinates care with providers, community resources, and interdisciplinary teams; connects members with services aligned with their goals; and supports regulatory compliance, quality standards, medical appropriateness, and positive member outcomes. The role requires approximately 75% travel within the community. It is full-time, with 40 anticipated weekly hours.
Requirements
- At least 2 years of experience in behavioral health, social services, or a related field aligned with the program focus.
- Must reside in Northern Virginia in Arlington, Annandale, Falls Church, or Springfield.
- Must have reliable transportation and be willing and able to travel up to 75% of the time.
- Demonstrated proficiency with Microsoft Office, particularly Outlook, Excel, and Teams.
- Bachelor’s degree or non-licensed master’s degree required.
Nice To Haves
- Degree in behavioral health or human services.
- Experience in case management or discharge planning.
- Managed Care experience.
Responsibilities
- Build trusted relationships with members through in-person visits.
- Conduct comprehensive assessments using clinical judgment and critical thinking to understand medical, behavioral, and social needs.
- Develop and implement individualized care plans that promote health, independence, and quality of life.
- Collaborate with providers, community resources, and interdisciplinary teams to coordinate high-quality care.
- Connect members to services, supports, and resources that align with their goals.
- Ensure care delivery meets regulatory requirements and Aetna quality standards.
- Advocate for medical appropriateness while supporting positive member engagement and outcomes.
Benefits
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources, based on eligibility
- Eligible for a CVS Health bonus, commission, or short-term incentive program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
