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 in Northern Virginia. This field-based role involves in-person member visits, approximately 75% travel, and independent work in the community. The analyst assesses members’ medical, behavioral, and social needs; develops individualized care plans; coordinates care with providers, community resources, and interdisciplinary teams; and helps members access services that support their goals, independence, and quality of life. The role also ensures care delivery meets regulatory requirements and Aetna quality standards while advocating for medical appropriateness and positive member outcomes.
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 computer proficiency in Microsoft Office Suite, particularly Outlook, Excel, and Teams.
- Bachelor’s degree or non-licensed master’s degree required.
Nice To Haves
- Experience in case management or discharge planning.
- Managed care experience.
- Degree in behavioral health or human services.
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 ensure coordinated, 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, dental, and 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
