Skip to main content

A new day in healthcare. Together, CVS Health and Aetna help people on their path to better health.

Field Case Manager

Primary Location: Crestwood, MO
Additional Locations: MO-Crestwood
Apply
Description:
Work from Home (Telework) Position that will require in field travel. Candidates must be located near the Springfield, IL area but can be located in Missouri.

As a Field Case Manager, you will partner within our Clinical Team in a collaborative process of assessment, planning, and advocacy to meet a members benefit plan and/or health needs in their home, hospital or other community location.


Fundamental Components:
Through the identification of members via analytics tools, member services or self-referrals, and comprehensive assessments of referred member's needs, the Field Case Manager determines an approach to case resolution and/or meeting needs by identifying potential barriers to care and develops an individualized care management plan using a holistic approach to assist members with achieving their identified health goals. Operates across a multi-disciplinary team, inclusive of other specialized clinicians, to overcome barriers to meeting health goals and objectives and ensuring optimal member health is achieved. Consistently presents appropriate cases at Case Management Rounds to obtain multidisciplinary review in order to achieve optimal outcomes. Identifies and escalates quality of care issues through established channels.

Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. Knowledge and use of social and community resources to assist members in achieving optimal health are key to the role. This position requires the Case Manager to conduct face to face visits with members enrolled in the case management program. Must have experience in meeting members in their homes, community setting or healthcare facility. Comfortable travelling within a designated geographic area based on member location.



Background Experience:
  • RN licensure is required
  • 5+ years clinical experience is required
  • 2+ years home health, hospice, or case management involving face to face visits preferred
  • Ability to travel within a designated geographic area for in-person case management activities
  • 3+ years case management experience is preferred
  • Excellent analytical and problem solving skills
  • Experience in using multiple online tools to capture care management plans and activities

EDUCATION:
The minimum level of education required for candidates in this position is a Bachelor's degree or equivalent experience.

LICENSES AND CERTIFICATIONS:
Nursing/Registered Nurse (RN) is required
Nursing/Certified Case Manager (CCM) is desired



Additional Job Information:
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

Benefit eligibility may vary by position. Click
here to review the benefits associated with this position.

Aetna takes our candidates'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.





Education:
Nursing - Registered Nurse (RN)

Potential Telework Position:
Yes

Percent of Travel Required:
10 - 25%

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.

Click To Review Our Benefits (PDF)

Apply

Jobs for you

Recently Viewed Jobs

You do not have any recently viewed jobs

Your Saved Jobs

You do not have any saved jobs

Sign up for Job Alerts

Join our Talent Community

At Aetna, we are pioneering a total approach to health and wellness and we need talented candidates like you to join our team. Become a member of our talent community to be the first to know about career initiatives that match your skills and interests as they become available, in addition to details on upcoming events, networking opportunities, and news about Aetna.

Join Our Talent Community

Sign up to receive information about job openings that are tailored to your skills and interests. Plus, get the latest career news from Aetna.