Analyst, Case Management - Remote

Overview

This Analyst, Case Management position is with Aetna’s Long-Term Services and Supports (LTSS) team, focusing on providing care coordination and support for members in the healthcare system.

In Short

• Field-based position requiring travel up to 70% of the time.
• Utilizes critical thinking and judgment in the case management process.
• Conducts comprehensive evaluations of member needs and eligibility.
• Collaborates with healthcare professionals to enhance quality of care.
• Uses care management tools to monitor and implement care plans.
• Identifies risk factors and escalates quality of care issues.
• Provides coaching and support to empower members in healthcare decisions.
• Ensures compliance with regulatory guidelines and company policies.
• Requires a Bachelor's degree in behavioral health or related fields.
• Preferred experience in case management and managed care.

Requirements

• 2 years’ experience in behavioral health or social services.
• Must reside in Martinsville Virginia or surrounding areas.
• Reliable transportation for travel requirements.
• Bachelor's degree or non-licensed master level clinician required.
• Preferred certifications include LMHP, RN/LPN, QMHP, LMSW, LBSW, MSW, or BSW.

Benefits

• Comprehensive medical plan options.
• 401(k) plan with company matching contributions.
• Employee stock purchase plan.
• No-cost wellness programs and confidential counseling.
• Flexible work schedules and paid time off.
• Tuition assistance and retiree medical access.