Care PlannerPrimary Location: Blue Bell, PA
Additional Locations: PA-Blue Bell Apply
This role is Monday-Friday, standard business hours, no nights, no weekends and no holidays!
Role is telework, remote or work at home.
63579Fundamental Components: Collects data from designated administrative sources and reviews findings in order to identify potential enrollees for clinical specialty programs. Provides outreach to members to educate them about available specialty programs and to solicit their participation. Administers structured pre-screening questionnaire in order to provide relevant member information to care manager so that clinical assessment process can be facilitated by care manager. Educates members about available web-based resources. Under direction of clinical management staff and supported by care associates, conducts case management related research and coordinates both internal and external resources, referrals to EAP, referrals to community support services. Supports the implementation of behavioral health treatment plans, functioning as an integral member of the care management team. Participates in designated team meetings and case rounds with other clinical and medical staff. Adheres to compliance and Patient Management policies and regulatory requirements. Maintains accurate and complete documentation of required information meeting risk management, regulatory and accreditation requirements. Participates in designated clinical quality management initiatives. Exhibits behaviors outlined in Employee Competencies.
Background Experience: 2 years behavioral health care experience.
Associates Degree, Bachelors Degree in Psychology or Social Services preferred or equivalent work experience. Additional Job Information: Independent. Accountable. Required Skills: Benefits Management - Encouraging Wellness and Prevention, Benefits Management - Promoting Health Information Technology, Leadership - Creating Accountability Desired Skills: Leadership - Driving Change Potential Telework Position: Yes Percent of Travel Required: 0 - 10% EEO Statement: Aetna is an Equal Opportunity, Affirmative Action Employer Benefit Eligibility: Benefit eligibility may vary by position. Click here to review the benefits associated with this position. Candidate Privacy Information: Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.
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